Use this form to let us know if you're providing a drop-box, or multiple, for the return of ballots. Be sure to provide the address of each box, and provide any additional information voters may need in order to find them.

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* 1. Name of City or Town

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* 2. Are you providing one or more ballot drop-boxes?

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* 3. How many drop-boxes are available in your city or town?

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* 4. Please provide the street address for each available drop-box. Add any additional location information in the same line as the address.

(If not providing a drop-box, state "none".)

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