Voter Registration Form

Name * DOB

Phone Number *

Email Address

Street Address *

Address Line 2

City, Province, Postal Code *

In order to be eligible to vote in the RM of Montcalm, you must be a resident in the municipality or be a registered owner of land in the municipality for at least six months prior to the election date.

House # *

Apartment # *

Street Name *

By submitting this form, I declare that as of ______,___, I am: * at least 18 years old
a Canadian citizen
a resident of the Rural Municipality of Montcalm for at least six months OR a registered owner of land in the Rural Municipality of Montcalm for at least six months.