“Date __________ |
____I hereby file notice as a candidate for nomination as ____________ in the __________ party primary election to be held on ________, ______ I affiliate with the __________ party, (and I certify that I am now registered on the registration records of the precinct in which I reside as an affiliate of the ____________ party.) | |
____I pledge that if I am defeated in the primary, I will not run for the same office as a write-in candidate in the next general election. |
Signed | ||
(Name of Candidate) | ||
Witness: | ||
(Title of witness) |
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