VOTER PLEDGE FORM

This form is patterned after the New York Statewide Systems Advocacy Network (SSAN) ’s “Voter Pledge Form ”. Please fill this form out completely and submit it to the Catskill Center for Independence. Please contact Charles Reichardt at 607-432-8000 or ccfi@ccfi.us if you have any questions.

Project Vote is asking all people with disabilities to “pledge” their support to Project Vote. Please sign the form below and pledge to register to vote at your current residence address, get educated about the candidates and show up at the polls on Election Day. After we receive this form, Project Vote will mail you voter education materials periodically that will include information informing you of voting polls in your district, voting contacts in your area and information on candidates in your area.

 

As a registered voter with a disability, I pledge to:

Vote in all elections
Encourage others to register and vote
Educate others and myself about issues important to people with disabilities


Contact Information

Email:

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