Please use your browsers PRINT command to make your copy of this
page.Print this form on your printer and return it to the address shown below
Town of
Office of
the Town Clerk/Tax Collector
RR1
Intervale,
NH 03845
603-356-2300
PH/Fax
email:
bartletttownclerk@adelphia.net
TOWN OF BARTLETT ,
NH
APPLICATION FOR OFFICIAL ABSENTEE BALLOT
DATE:_______________________
To the town clerk of
Bartlett ,
NH
Hereby apply
for an official absentee ballot.
I am a duly qualified voter, am registered with the
___________________________party (if no party affiliation, list
undeclared), am applying for an absentee ballot and am entitled to vote
in the Town of Bartlett, NH.
Mail
absentee ballot to: __________________________________________________
______________________________________________________________________.
Signature:
______________________________
Street Address: (in NH)
_______________________________________________
_______________________________________________
Signature:
______________________________________
Print: _______________________________________