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

Congregation / Organization(Required)

If you do not see your organization in the dropdown menu, type “Other” and enter it in the field below.

Other

What is your voting plan?(Required)

Early

On Election Day

By Mail

Already Voted

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

Yes

Name

This field is for validation purposes and should be left unchanged.