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2. Can you work the Park County election?*

   1. Yes
   2. No
4. Which Vote Service and Polling Center location are you able to work?*

   1. 1) Fairplay Only
   2. 2) Shawnee Only
   3. 3) Either One
6. First Name*
7. Last Name*
9. Phone Number
10. Email Address*
12. Address
14. City
15. State
16. Zip
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field