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Get WI GAB-121 2012

This form. Return this form to your municipal clerk when completed.  Please use uppercase (CAPITAL) letters only. Fill in circles as appropriate.  You must be registered to vote before you can receive an absentee ballot. You can confirm your voter registration at https://vpa.wi.gov VOTER INFORMATION 1 Municipality Town Village City County Last Name 2 First Name Middle Name Suffix (e.g. Jr, II, etc.) Phone Fax Date of Birth (MM/DD/YYYY) Email Residence Address: Street Num.

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