Tennessee Mail-In Application For Voter Registration

(required under T.C.A. § 2-2-116 for purposes of identification and to avoid duplicate registration)

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FROM:

PLACESTAMP HERE

The Post Office will not deliver without postage.

Voter Registration Document - Please Do Not Delay

TO:

COUNTY ELECTION COMMISSION

New Address (and mailing address if different) District/Ward/Precinct Clerk Date Additional Information

TRANSFERRED TO NEW ADDRESS