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Vernon Township

6801 S. Durand Road, Durand, MI 48429 Phone: 989-288-4403 Fax: 989-288-3777

Current Registered Voter information.

Please submit one form per voter.

First name*

Last name*

Date of Birth (to confirm identity)*

Month

Day

Year

Address*

Phone*

Email (optional)

Alternative Address to Mail Ballot

Date Leaving for this address:*

Month

Day

Year

Date of return*

Month

Day

Year

Address*

I understand that by submitting this form I am temporarily changing my mailing address with the township of Vernon only for the purpose of receiving election mail during the period listed above. I further undstand that I will need to submit this form for each election cycle for which I am a permanet ballot voter or permanet absentee voter for which I will need an alternative mailing address

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