Voter Information Guide and Sample Ballot
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Non Profit Org. REGISTRAR OF VOTERS U.S. Postage 777 E. RIALTO AVENUE PAID SAN BERNARDINO CA 92415 Registrar of Voters To vote by mail - Fill out and return this application by May 27, 2014 Do not return this application if you are already a permanent Mail Ballot voter - Your Mail Ballot will arrive soon Para votar por correo - complete y devuelva esta solicitud antes del 27 de mayo de 2014 No devuelva esta solicitud si usted ya es votante de boleta por correo permanente - su boleta por correo llegará pronto STEP 1 I want to be a permanent Mail Ballot voter STEP 2 and receive a Mail Ballot for all elections. Quiero ser votante de boleta por correo permanente y recibir Last Name / Apellido First Name / Nombre Middle Name / Segundo nombre una boleta por correo para todas las elecciones. I want a Mail Ballot for this election only. Residence Address / Domicilio residencial City / Ciudad State / Estado Zip / Código postal 001 Quiero una boleta por correo sólo para estas elecciones. Mailing Address (if different) / Envíe mi boleta a (si es diferente) City / Ciudad State / Estado Zip / Código postal X Applicant’s Signature / Firma del solicitante Date / Fecha To vote in person or drop off your Mail Ballot on Election Day - Go to your assigned polling place listed below Para votar personalmente o entregar su boleta por correo el Día de las Elecciones - acuda a su casilla electoral asignada, que se indica a continuación Vo Find yourAssigned Find ASSIGNMENTS • POLLINGPLACE Allvoters TOP • for any candidateontheballot. any for 777 E. Rialto Avenue, San Bernardino, CA92415 SanBernardino, 777 E.RialtoAvenue, IMPORTANT INFORMATION YOU NEED INFORMATION IMPORTANT ter InformationGuide St Guía deinformación paraelvotant TW San Bernardino County ElectionsSan BernardinoCounty O ce atewide Primar www Tuesda NEW IN O PRIMARY INFORMATION O PRIMARY Sample Ballot , regardlessofpar en español enel interior .sbc Po ounty y, lling Placeonthebackofthisguide. and June3,2014 ty pr elections.com eferenc 2014 y Election e, canvote TO KNOW e • Save Time, Gas, and Taxpayer Dollars Time,Gas,andTaxpayer Save • Want WhenYou Vote • atHome Vote • • Save Time, Gas, and Taxpayer Dollars Time,Gas,andTaxpayer Save • Want WhenYou Vote • atHome Vote • • SAN BERNARDINO To apply,complete theapplication on theback ofthisguide. COUNT Y ELECTIONS OFFICE • FROM: / REMITENTE: FIRST CLASS POSTAGE PLACE STAMP HERE DID YOU SIGN YOUR APPLICATION? DATED MATERIAL ¿FIRMÓ SU SOLICITUD? PEGUE LA ESTAMPILLA AQUÍ REGISTRAR OF VOTERS 777 E. RIALTO AVENUE SAN BERNARDINO CA 92415-1005 Get Your Sample Ballot... Voter Info Guide and Sample Ballot You have a choice in how you receive your Voter Information Guide and Sample Ballot. Save Taxpayer Dollars! Fill out the application on the back of this page to receive your Sample Ballot electronically. N SB 001 APPLICATION FOR ELECTRONIC VOTER INFORMATION GUIDE Submit this application in order to receive your Voter Information Guide and Sample Ballot electronically. If you submit this application, you will no longer receive your Voter Information Guide and Sample Ballot in the mail. 1. FILL OUT YOUR PERSONAL INFORMATION _____________________________ _____________________________ Last Name First Name ____________________________________________________ Street Address ____________________________________________________ _________________ City Zip Code _______________________ _________________________ Birthdate (mm/dd/yyyy) Phone ____________________________________________________ Email Address ____________________________________________________ __________________ Applicant’s Signature Date 2. RETURN THIS APPLICATION • Deliver it to any polling place on Election Day • Scan and email it to: [email protected] • Mail it to: San Bernardino County Elections Office 777 E. Rialto Avenue San Bernardino, CA 92415 • Fax it to (909) 387-2022 • Visit www.sbcountyelections.com to complete an online application 3. CHECK YOUR EMAIL An email notification will be sent to you prior to the next election in which you are eligible to vote. 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