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2. Submit this form to be added to the East Lansing City Clerk's Automatic Application List. Once added to the list, you will automatically receive your application for an Absentee Voter Ballot in the mail approximately 60 days prior to each election. A signed application is required prior to each election in order for a ballot to be sent.
4. First Name*
5. Last Name*
7. Phone Number or Email*
9. Street Number*
10. Street Name*
11. Unit/Apartment Number
13. Year of Birth*
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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