First Name (Required)

Last Name (Required)

Best Phone Number (Required)

Alternate Phone Number

Best Email Address (Required)

Home Address (Required)

Address where you are registered to vote (if different than home)

Your Precinct can be found HERE:
browardvotes.gov/Voter-Information/Voter-Lookup-Free-Access-System

Voter Precinct Number

Party Affiliation (Required)
—Please choose an option—Florida Democratic PartyRepublican Party of FloridaLibertarian Party of FloridaIndependent Party of FloridaOther

How would you like to help out?
Event Set Up Support Staff - Need basic tools, pickup truck or SUVHand Out Voter Guides at Polling PlacesSet Up Polling TentsSet Up Polling Signs

Are you currently a Precinct Committeeman or Committeewoman?
YesNo

If not, are you interested in becoming a precinct committee member?
YesNoN/A

Anything else you would like to share with us?