Secretary of State - Election Division
Dallas Divide, Colorado
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VRD Order Form

Please complete the form and click 'Submit'. Fields followed by "*" are required.

NAME OF FORM: *

QUANTITY (English Version): *

QUANTITY (Spanish Version): *


CONTACT INFORMATION

Last Name *   First Name * Middle Name Suffix
VRD Name : *
VRD #: *
Email: *

Delivery Method: Pick-up at the Secretary of States Office
Ship to address listed below

SHIPPING INFORMATION ( Required )

Department:
Address 1: *
Address 2:
City: *
State: *
Zip: *


Please note: It will take at least one week for your order to be processed. If your request is urgent, Please contact Elections customer support @303-894-2200, ext. 6307