Town of Bedford New Hampshire
Voter Registration
PARTY CHANGES
Date: ______________
Name: ____________________________________________________ Jr./Sr.
(Last) (First) (Middle)
Street Address: _________________________________________________
DOB (mm/dd/yyyy):__________________________
I hereby request that my political party registration be changed as follows:
From: Democrat____ Republican____ Undeclared____
To: Democrat____ Republican____ Undeclared____
______________________________________
Signature
Signed under penalties of perjury
PARTY CHANGE FORM INSTRUCTIONS
- Print the form using "Printer-Friendly Version" (or pick one up at the Town Offices).
- Complete the entire form.
- Pay special attention to Date of Birth.
- Sign the form.
- Mail the form or drop it off at the Town Offices in the box located in the lobby.
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