Skip to Main Content
Active Registered Voters
  • as of
  • Democrats:
  • Republicans:
  • NPA:
  • Other:
  • Total:

Requesting a Voter Registration Table

Please fill out this form as completely as possible to request that we set up a voter registration or voter education table at your event. If you have questions, contact Shane Bias at (772) 226-4701.  Once you've filled in the information about your event, make sure to click "send" at the bottom of the form.  

Required
Required
Required
Required
Required
Required
Required
Is the event indoors or outdoors?
Is the event indoors or outdoors?
Required
If the event is outdoors, can you provide a tent?
If the event is outdoors, can you provide a tent?
Required
Can you provide a table?
Can you provide a table?
Required
Can you provide a chair?
Can you provide a chair?
Required
Can you provide electricity?
Can you provide electricity?
Required
Required
Required
Required
Not Required
Send  Reset