November 3, 2020 Candidate Packet - Flipping Book Version

PERMISSION TO POST PERSONAL INFORMATION ON COUNTY OF SANTA CLARA REGISTRAR OF VOTERS INTERNET WEBSITE The Office of the Registrar of Voters (ROV) will publish one of the addresses below on the official Candidate Lists located on the ROV website at www.sccvote.org/candidatesandmeasuresinformation.  Please check the appropriate box to indicate which address you wish to be used for publication purposes.  If NO BOX IS CHECKED , the first address listed and provided below will be published.  If a day telephone number, FAX number, email address, or website is provided, that information will also be published.  If an evening telephone number is provided, and is different from day telephone number, it will not be published and used solely for ROV use . Information to be posted:

______________________________ ________________________________ ______________________________ FIRST MIDDLE (do not include hyphenated last name) LAST (include all or hyphenated last names)

Publish

→ Mailing Address (street or PO Box):

Apt or Unit #:

City:

State:

Zip Code:

Publish

→ Residence Address (Required):

Apt or Unit #:

City:

State:

Zip Code:

Publish

→ Business Address:

Apt or Unit #:

City:

State:

Zip Code:

Telephone Numbers: Day

Evening

Fax

Email:

Website:

I give permission to the Office of the Registrar of Voters to post the information I have listed above on the Candidate Lists appearing on the Department’s internet website located at www.sccvote.org/candidatesandmeasuresinformation, for the November 3, 2020 Presidential General Election.

Signed: ________________________________________________

Date: _____________________________