Oregon Voter Registration CardOregon Voter Registration Card
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Oregon Voter Registration Card

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transaction number:
*5E8106*
you may use this form to:

g

register to vote

g

update your information

If you are 17, you will not receive
a ballot until an election occurs
on or after your 18th birthday.

SEL 500 rev 12/12

qualifications
Are you a citizen of the United States of America?

yes

no

Are you at least 17 years of age?

yes

no

If you mark no in response to either of these questions, do not complete this form.

The deadline to register to
vote is the 21st day before
an election

Print with a black or blue pen
to complete the form.

last name* first* middle

Only registered voters are
eligible to sign petitions

Sign the form.
Mail or drop off the form at
your County Elections Office.

1 866 673 VOTE / 1 866 673 8683

city*

mailing address (required if different than residence)

You must provide your valid
Oregon Driver's License,
Permit or ID number.
A suspended Driver's License is