Navajo County

This information will only be used to fulfill this request.

Personal Information

• First Name / Nombre:  
• Last Name / Apellido:  
• Middle Initial / Inicial:
• Suffix (Sr / Jr / III):
• Residence Address / Dirección:  
• City / Cuidad:  
• Apt / Space:
• Zip Code:  
• Email Address:  
• Daytime Phone / Teléfono de día:  
• Birth Date / Fecha de Nacimiento:  

Mailing Information (if different than residence address)

• Mailing Address:
• Line 2:
• Line 3:
• Mailing City, St, Zip:
• Country (if other than USA):

Ballot Information

To request a ballot for the primary election you must select a party. If you are registered as a member of one of the listed parties, you will automatically receive the ballot for that party regardless of the selection you make here.

• Select Party Green
  Republican

  Libertarian ballots will only be sent to voters that are registered Libertarian, please do not choose Libertarian except in this case.

   
• Select Ballot Presidential Primary Election - February 28, 2012
  City Of Show Low - March 13, 2012
  White Mountain Lake Special Road District- March 13, 2012
  Timberland Acres Special Road District - March 13, 2012