Request for Precinct Chair Appointment

Must live in and be registered to vote in this voting precinct.
As it appears on your voter registration card.
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(Will be used for internal communication only and will not be published. Please do not use a work or school email address.)
Required by Federal and State law for campaign finance reporting purposes.
Must not be a candidate for, nor holder of, an elective office of the federal, state, or county government. [Texas Election Code Sec. 161.005(a)(2)]

Precinct Chair Applicants, Please Initial (2-3 characters, uppercase):