Unregistered Voter – Pledge to Vote Louisiana

Pledge Form

Completing this form will NOT register you to vote. For voter registration informaiton please visit: GEAUXVOTE.COM.

Name(Required)

First Last

Address(Required)

Street Address City ZIP / Postal Code

Cell Phone(Required)

Email Address(Required)

Congregation / Organization(Required)

Start typing to search for your organization. Type “Other” if you do not see your organization and specify below.

Other ( please specify )

What is your voting plan?(Required)

Early

On Election Day

By Mail

Will you join the team to increase voter turnout?(Required)

Yes

Maybe

Comments

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