Form
Election System of the Virgin Islands Sunny Isle Shopping Center, Christiansted, St. Croix, V.I. (340) 773-1021 9200 Lockhart Gardens, St. Thomas, V.I. (340) 774-3107 P.O. Box 1499 Kingshill St. Croix_U.S. Virgin Islands 00851 / P.O. Box 6038 St. Thomas U.S. Virgin Islands 00804 CHANGE OF VOTER REGISTRATION CARD / STATUS . TERRITORY OF THE VIRGIN ISLANDS) DISTRICT OF ) I, HEREBY REQUEST A CHANGE OF MY VOTER REGISTRATION CARD / STATUS. TYPE OF CHANGE (Please check below) Change of name Change of Party / Membership Request Change of Address Physical or Mailing Other/ Phone #s & e-mail NAME CHANGE Present Name on registration card: New name to be recorded: Lega! …
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Election System of the Virgin Islands Sunny Isle Shopping Center, Christiansted, St. Croix, V.I. (340) 773-1021 9200 Lockhart Gardens, St. Thomas, V.I. (340) 774-3107 P.O. Box 1499 Kingshill St. Croix_U.S. Virgin Islands 00851 / P.O. Box 6038 St. Thomas U.S. Virgin Islands 00804 CHANGE OF VOTER REGISTRATION CARD / STATUS . TERRITORY OF THE VIRGIN ISLANDS) DISTRICT OF ) I, HEREBY REQUEST A CHANGE OF MY VOTER REGISTRATION CARD / STATUS. TYPE OF CHANGE (Please check below) Change of name Change of Party / Membership Request Change of Address Physical or Mailing Other/ Phone #s & e-mail NAME CHANGE Present Name on registration card: New name to be recorded: Lega! documents proof of change: PARTY AFFILIATION Present party affiliation:(please check one): ___ Democrat Republican ___ ICM independent Other New Party affiliation (please check one): ___-s Democrat Republican ___— ICM Independent___ Other ADDRESS Present Address: Previous Address: Present Mailing Address: Previous Mailing Address: Date Signature of Elector OFFICIAL USE ONLY Verified by: Date: Election Officials SUBSCRIBED AND SWORN to before me on this day of 20 . Notary Public ELECTION SYSTEMS OF THE VIRGIN ISLANDS FORM 0015/98