Elect Rick Wallace

To: Absentee Voting Department
PO Box 3427
Greensboro, NC 27402

(fax to: 336 641-4454)

From: the Undersigned

Please send me an Absentee ballot for the May 6, 2008 Primary Election

My complete name is:

My current residence address is:

      Address

      City, State, Zip

My date of birth is:

My phone number is:

Party primary in which I will vote is:

Please mail my ballot to

      Address

      City, State, Zip

This is my signature:

My complete name is:
My current residence address is:
Address
City, State, Zip
My date of birth is:
My phone number is:
Party primary in which I will vote is:
Please mail my ballot to
Address
City, State, Zip

This is my signature: