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OFFICE OF THE COUNTY CLERK
ELECTION DIVISION
PO BOX 1110
NEW BRUNSWICK, NJ 08903
FAX #: 732-745-2170
 
 
 
Voter’s Name (Print)______________________________________________
 
Voter’s Signature ________________________________________________
 
         Address ___________________________________________________
 
               City ___________________________________________________
 
 
 
I would like to have my name removed from one or both of the following options to Vote by Mail
 
a.    All general elections or
 
b.    Annual elections for the calendar year
 
Please circle which of the options you want to have removed.  You can mail to the above address, fax to the above number or e-mail the form to Claudia Jackson​​
 
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