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Register

CLICK HERE TO DOWNLOAD THE VOTER REGISTRATION FORM

Fill out the form below if you would like registration assistance from the Phil Bryant campaign.

Prefix First Name Last Name
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ELIGIBILITY :

To register in Mississippi you must:

• be a citizen of the United States

• have lived in Mississippi and in your county (and city, if applicable) 30 days before the election in which you want to vote

• be 18 years old by the time of the general election in which you want to vote

• have not been convicted of murder, rape, bribery, theft, arson, obtaining money or goods under false pretense, perjury, forgery, embezzlement, or bigamy, or have had your rights restored as required by law

• not have been declared mentally incompetent by a courtNote: State law changed by federal court order in 1998 and by state legislation in 2000. We now accept the form as registration for voting for all state and federal offices.

REQUIREMENTS :

• United States citizen.

• Eligibility requirements of my state.

• The information I have provided is true to the best of my knowledge under penalty of perjury. If I have provided false information, I may be fined, imprisoned, or (if not a U.S. citizen) deported from or refuzed entry to the United States.

Post Office Box 321226 | Flowood, Mississippi 39232| 866-362-4303
      Copyright ® 2007 | Paid for by Friends of Phil Bryant | All Rights Reserved