Independent Congressional Candidate — District MD 5

YOU COUNT!! Sign the nomination petition below.

Candidate Information

Notice to Signers

Sign and print your name (1) as it appears on the voter registration list, OR (2) your surname of registration AND at least one full given name AND the initial of any other names. Please type all information other than your signature. Post Office Box addresses are not generally accepted as valid. By signing this petition, you agree that the above candidate should be placed on the ballot for the office indicated and that, to the best of your knowledge, you are registered to vote in Maryland and are eligible to have your signature counted for this petition.

The information you provide on this petition is public information and may be used to change your voter registration address.

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If you live in Baltimore City, choose "Baltimore City" above.

Your Name (as it appears on your voter registration)

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Last Name *

Dates

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You must be at least 18 years old.

Date of Signature *

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Apt. No.

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State

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Contact info

If there is a question about your signature, the campaign team will reach out to you.

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I affirm that I am a registered voter in Maryland, eligible to have my signature counted, and that the information above is true to the best of my knowledge.

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JORDAN HQ

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AJ Alex JordanCampaign Admin ⌄

Independent Congressional Candidate — District MD 5

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Thank you for getting Brian Jordan on the ballot.

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