Election Judge Application

	I want to serve as a Democratic judge.
	I want to serve as a Republican judge.
	Political affiliation does not matter to me.
	I would like more information, please call me.

I am fluent in:	Spanish	Chinese
(if applicable)

Name:
Address:
Village/City:
State:	Illinois
Zip (5 digits only):
Email:
Daytime Phone:
Evening Phone:

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