Report Voter Registrations

Use this form to report your League's voter registrations and other election related activities.

* Indicates required field

Name of Your League *

Date of Voter Event *

Venue/Location of Voter Event *

Address of Venue *

Line 1

Line 2

City

State

Zip Code

Country

Name of Event Coordinator *

Number of Volunteers *

Names of Volunteers *

Total Hours Volunteered *

Number of Voters Registered *

Number of Individuals Engaged *

Your Name *

Your Email *

A copy of this report will be emailed to you.

Your Comments *

Submit