State Of Alaska Official Election Pamphlet Candidate Checklist E-Mail: Send Electronically To: (call with credit card information) Phone: (907) 465-4611 Toll Free: (866) 952-8683 Division of Elections or Mail To: P.O. Box 110017 Juneau, AK 99811-0017 Division of Elections: I have enclosed the following information regarding my candidacy for inclusion in the 2016 Official Election Pamphlet: A biographical statement of 150 words or less. AS 15.58.030(e) A position statement of 250 words or less. AS 15.58.030(e) A 5" x 7" photograph (five inches wide by seven inches high) taken within the last five years and limited to the head, neck and shoulders of the candidate. All photographs will be printed in black and white. A S 15.58.030(f) Cash, check, money order, or credit card (see credit card authorization form attached) for the appropriate amount made payable to the State of Alaska, Division of Elections. AS 15.58.060(a) $300.00 - United States Senator, United States Representative, Governor, Lieutenant Governor $100.00 - State Senator, State Representative I request that the above information be printed in the 2016 State of Alaska Official Election Pamphlet and certify that I am submitting my materials by the statutory due date of Friday, July 22, 2016. AS 15.58.030(b). Name of Candidate Date
State Of Alaska Official Election Pamphlet Candidate Checklist Send Electronically To: (call with credit card information) E-Mail: Phone: (907) 465-4611 Toll Free: (866) 952-8683 or Mail To: Division of Elections P.O. Box 110017 Juneau, AK 99811-0017 Division of Elections: I have enclosed the following information regarding my candidacy for inclusion in the 2016 Official Election Pamphlet: A biographical statement of 150 words or less. AS 15.58.030(e) A position statement of 250 words or less. AS 15.58.030(e) A 5" x 7" photograph (five inches wide by seven inches high) taken within the last five years and limited to the head, neck and shoulders of the candidate. All photographs will be printed in black and white. A S 15.58.030(f) Cash, check, money order, or credit card (see credit card authorization form attached) for the appropriate amount made payable to the State of Alaska, Division of Elections. AS 15.58.060(a) $300.00 - United States Senator, United States Representative, Governor, Lieutenant Governor $100.00 - State Senator, State Representative I request that the above information be printed in the 2016 State of Alaska Official Election Pamphlet and certify that I am submitting my materials by the statutory due date of Friday, July 22, 2016. AS 15.58.030(b). Name of Candidate Date
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