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2. In order to obtain the Greenwich Voter List please complete the form and submit along with a check for $35.00.
   When you print, please send the form and check to: Registrars of Voters, 101 Field Point Road, Greenwich, CT 06830
4. In what format do you want the list?*

   1. Microsoft Excel (Electronic)
   2. PDF (Electronic - non-editable)

   Paper lists are available at 50 cents per page. Please call us at 203-622-7889 is you need a paper list.
6. How would you like to receive the list?*

   1. Email
   2. Regular USPS Mail (on CD)
8. My request is for:

   1. Campaign Use
   2. Personal Use
   3. Business Use
10. What type of voters are you requesting?*

    Please let us know if you are interested in all parties, or a particular party, or unaffiliated voters (no party)

    1. Full Voter List
    2. Republicans Only
    3. Democrats Only
    4. Unaffiliated (No Party)
    5. Other - Please call us with custom requests.
12. Name*
13. Email Address*
15. Address
17. City
18. State
19. Zip Code
21. Phone Number*
22. Fax Number
24. Important - Please Read
    You will notice there are both "Submit" and "Submit and Print" buttons below. Please use the "Submit and Print" button only. This will submit your order and also allow you to generate a paper copy of your order, which you should include with your payment.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field