Retain Sitting Judges


	If you have been or are willing to be a poll captain please fill out the Poll Captain form. If you are volunteering to be a worker, please scroll down and fill out the Poll Worker Form. Thank You!!


	Polling Place:


	Poll Captain

	Name:
	Street Address:
	City:
	State:
	Zip:
	Phone (Day):
	(Eve):
	(Cell):
	E-Mail:


Poll Worker

Name:	Name:
Street Address:	Street Address:
City:	City:
State:	State:
Zip:	Zip:
Phone (Day):	Phone (Day):
(Eve):	(Eve):
(Cell):	(Cell):
E-Mail:	E-Mail:

Contributions To Political Committees Are Not Tax Deductible
By Authority of Mary Ellen Flynn, Treasurer
Committee To Retain The Sitting Judges
© 2003