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2. Full Legal Name
4. Title
5. First Name*
6. Middle Initial*
8. Last Name*
9. Suffix
11. Preferred Phone Number*
12. Alternate Phone Number
14. Preferred Email
15. Date of Birth*
    Date of Birth
17. Mailing Address*
18. Address Line 2
20. City*
21. State / Province / Region*
22. Zip Code*
24. Country
26. Physical Address

    Leave blank if same as mailing address.

28. Street Number & Name
29. Address Line 2
31. City
32. State / Province / Region
33. Zip Code
35. Country
37. Office Sought*

39. To qualify to run you must be a registered voter who lives within the Town of Truckee boundaries. All applicants will be verified against county voter registration records.

    For any additional questions, please reach out to the Town Clerk, Kelly Carpenter, at kcarpenter@townoftruckee.com or (530) 582-2924.

    To submit your form to receive your filing packet, you must click SUBMIT below.

41. Acknowledgements*

    1. I understand that I will not be an official candidate for Truckee Town Council until all original documentation contained in the filing packet, complete with wet signature, is received by the Town Clerk on or before the filing deadline.
    2. I authorize the above information to provided to the public, in writing, over the phone, and/or via the Elections Office and/or the Town of Truckee website via the internet.
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43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field