June 2012 Prospective
Candidate Form
All candidates or ballot measures wishing to appear on the Voter Guide MUST complete this form. 

However, completion of the form is NOT a guarantee of placement on the Voter Guide.

Upon receipt of the form, our staff will contact you with counts and costs and other information.  This is a Republican Voter Guide, so only Republican candidates for partisan office will be considered.  Candidates of all parties will be considered for local, non-partisan office.

If you have any questions, please call Tom Shortridge at 310-547-3715 or BETTER YET, email tom@CRGVoterGuide.com

Thank you.

Use your TAB key between fields. Don't use ENTER key until the end of the form!
 

Candidate/Ballot Measure Name:

Contest/Race (include district number if any):

County (list all if more than one):

Committee Name:

Committee ID #:

Committee Treasurer:

Committee Street Address:

Committee City:

Committee State:

Committee Zip:

Contact Person:

Contact Telephone:

Contact Email:

Lead Campaign Consultant:

Other Campaign Consultants:

Key Endorsements:
 

If a candidate for non-partisan office, what is candidate's party of registration:

Other info we should know (keep it brief please):

Once you submit this form, our staff will get back to you shortly.  Thank you!

 

 

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