E-Gov Services City of Lowell

ELT - Voter Registration Form / Absentee Ballot Application Request

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Purpose: This form is used to request a Voter Registration form to be mailed to the address you provide.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Daytime Phone:	() –
* Address:
* City:
* State:
* ZIP:

Which form are you requesting to be mailed to you? (Check all that apply)

Absentee Ballot Application

Voter Registration Form

Quantity:

* Are you a new resident of Lowell?

Yes

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
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