| List of Voters
$.15 page
a. Call List b. History List c. Standard List Labels $10.00 plus $.015 per voter a. Standard b. Household c. Absentee |
Export CD
a. Standard Countywide $5.00 b. Customized $10.00 Travel Card $1.00
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Town / Ward / Districts____________________________________________
Party Affiliation
| Republican | Conservative | Green | Blank |
| Democrat | Liberal | Working Families | Other: |
| Independence | Right to Life | Libertarian |
Order of Information_____________________________________
Other
| Male | Active |
| Female | Inactive |
Once the information is received
by the names(s) below, it is not returnable and no longer property of the
Tompkins County Board of Elections. Payment is non-refundable.
Make checks payable to County
of Tompkins. Payment must be received in advance including completed
written information request.
Date: _______________ Phone: _______________
| Name:____________________________________ |
| Company: ________________________________ |
| Street Address: ________________________________ |
| City, State, Zip: ________________________________ |
| Signature:________________________________ |