2011 Absentee Ballot Request

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Request an Absentee Ballot for the upcoming Saturday, June 25, 2011 Cherokee Nation Election no later than Friday, May 13, 2011. Complete and mail to the address at the top of the form.

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2011 Absentee Ballot Request

  1. 1. ABSENTEE BALLOT REQUEST ATTENTION: CHEROKEE NATION ELECTION COMMISSION, PO BOX 1188, TAHLEQUAH, OK 74465-1188I am requesting an Absentee Ballot.Name (Type or Print): _______________________________________________________________________Address: ___________________________________________________________________________________City, State, Zip: _____________________________________________________________________________ NEW ADDRESS: YES NO (Please Circle)Phone Number: (______)_____________________________________(For our verification)Date of Birth: ___________________________ (Blue Card No.) CO__________________________________Signature: _______________________________________________________________Date: ______________ Cherokee Nation Election Information 1-800 353-2895 Absentee Ballot Request must be in office: Feb. 7, 2011 until May 13, 2011 (Cut along line)------------------------------------------------------------------------------------------------------------- ABSENTEE BALLOT REQUEST ATTENTION: CHEROKEE NATION ELECTION COMMISSION, PO BOX 1188, TAHLEQUAH, OK 74465-1188I am requesting an Absentee Ballot.Name (Type or Print): _______________________________________________________________________Address: ___________________________________________________________________________________City, State, Zip: _____________________________________________________________________________ NEW ADDRESS: YES NO (Please Circle)Phone Number: (______)_____________________________________(For our verification)Date of Birth: ___________________________ (Blue Card No.) CO___________________________________Signature: _______________________________________________________________Date: ______________ Cherokee Nation Election Information 1-800 353-2895 Absentee Ballot Request must be in office: Feb. 7, 2011 until May 13, 2011

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