You are on page 1of 2

DMV

()

25


()
1-800-FOR-VOTE(TDD/TTY 711)

DMV

18

www.elections.state.ny.us

Informacin en espaol: si le interesa obtener este


formulario en espaol, llame al 1-800-367-8683

:,
: 1-800-367-8683

:
1-800-367-8683 .


18
18

()

11

12

()

//

//

DMV

xxxxx

10


13

30


5,000 /

15

Chinese 6/11

14


()

()

Chinese 6/11

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

BUSINESS REPLY MAIL


FIRST-CLASS MAIL

PERMIT NO. 4339

NEW YORK NY

POSTAGE WILL BE PAID BY ADDRESSEE

BOARD OF ELECTIONS
32 BROADWAY FL 7
NEW YORK NY 10275-0067

()
(DOH) Donate Life
www.nyhealth.gov

18

You might also like