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version w NORTH CAROLINA VOTER REGISTRATION APPLICATION Please use black ink and print legibly

Are you a citizen of the United States of America Yes No Will you be at least 18 years of age on or before election day IF YOU CHECKED NO IN RESPONSE TO THIS QUESTION DO NOT SUBMIT THIS FORM IF YOU CHECKED NO IN RESPONSE TO THIS QUESTION DO NOT SUBM

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version w NORTH CAROLINA VOTER REGISTRATION APPLICATION Please use black ink and print legibly






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