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Get TX Republican Party GOP Data Center Access Request Form 2012

L Name: __________________________________________ Address: _____________________________________________ If YES, Previous Voter Vault Username: ___________________ (If NO, you may be notified of an in-kind contribution for your access to the GOP Data Center for reporting purposes) City: _______________________ Zip Code: ______________ County:______________________________________________ Voter Certificate Number (VUID): _________________________ Phone: ____________________________________.

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