To get on the General Election ballot, we must collect the signatures of roughly 7,000 registered West Virginia voters as soon as possible. To do so, we’ll need your help.
IMPORTANT INFORMATION: (1) EACH FORM MUST CONTAIN ONLY THE SIGNATURES OF VOTERS REGISTERED IN WEST VIRGINIA AND (2) ONLY ONE COUNTY MAY BE REPRESENTED PER FORM.
Please send your completed forms to the following address:
Don Blankenship for U.S. Senate
P.O. Box 11691
Charleston, WV 25339
**Please mail completed forms by July 31st, 2018
Thank you for your help. If you have any questions, please call (304) 729-4931 or you can reach our campaign by email at firstname.lastname@example.org
Below you can print the following petition signature form. Click the downward arrow icon on the top right of the PDF viewer to download and print the form.
1. State of West Virginia, County of (county you are currently IN to collect signatures)
2. This is to certify that we, the undersigned, are registered voters of (county of residence for ALL signatures on form) County, who reside within the jurisdiction of the offie each candidate named below is seeking.