2020 Ballot Access Petition Circulator - Bronze Level

Please fill out the form below to process your order for the Bronze Level Petition Kit: five official copies of the ballot access petition form, instructions, and promotional materials.

At the end of the form below enter your credit/debit card number by clicking on the word "Card number" below and start typing your card number.

If you have questions please contact Garland Favorito, Elections Director, at (404) 664-4044.

1. Amount

$10.00

2. Your information

First Name

Last Name

Country

Billing Address

City

Postal code

Phone

Send email updates

Employer

Occupation

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Donation Note

Contributions are not tax deductible.

3. Payment information

Credit Card

Contribution rules By clicking on the "Contribute" button, you confirm that the following statements are true and accurate:

I am not a foreign national who lacks permanent residence in the United States.
I am an individual, and this contribution is made from my own funds, not those of another.
I am at least eighteen years old.

State law requires that we collect and report the name, address, occupation and employer of individuals and businesses whose contributions exceed $100 in an election cycle. Donations are not tax deductible. Contributions from sources other than individuals must be made by check in the name of the organization. Contributions from foreign nationals are prohibited by law. I confirm that the above statements are true and accurate. Don't publish my donation on the website.

$10.00