Electronic Petition Form | Princess Blanding

Electronic Virginia Petition of Qualified Voters

Electronic form to petition for Princess Blanding to be on the ballot in the Virginia General Election, November 2, 2021.

Petitioner Information

Full Name ( as printed on your voter registration form)

Your Full Residential Address ( PO Box not acceptable)

Address 2 (Optional)

City

Zip Code

Last 4 Digits of Your Social Security Number

If the petition signer supplies the last four digits of their social security number, the petition does not need to be witnessed in the presence of a petition circulator and may be submitted to the candidate or candidate’s campaign by the petition signer themselves without affirmation by a circulator or notarization.

Candidate Information

(Signing a petition does not indicate support of that candidate nor does it obligate you to vote for that candidate).

Candidate Ballot Name: Princess Blanding

Residence: Water View

Office Sought: Governor

Petition Signer Statement

I, the qualified voters of the district in which the above candidate seeks nomination or election, and of signed hereunder, do hereby petition the above named individual to become a candidate for the office stated above in the General Election to be held on the 2nd day of November, 2021, and we do further petition that his/her name be printed upon the official ballots to be used at the election.*

*Language from the Virginia Board of Elections

Note to Petition Signer

Your signature on this petition must be your own and does not signify an intent to vote for the candidate.
You may sign petitions for more than one candidate.
Privacy notice:
- This information provided will be checked against the official voter registration roll.
- This form is available for public inspection, but your SSN, or any part thereof, will not be provided.
Fraud notice: Any willfully false material statement or entry made on this form by any person shall constitute the crime of election fraud and be punishable as a Class 5 Felony.

Your Signature

I affirm the information provided is true, and I affirm I am a resident of my jurisdiction and of the address provided below.

I authorize this electronic signature to be applied to the electronic petition form submitted to the campaign of Princess Blanding.

Signature ( Type Your Full Name)

Date Signed

Copy of Submitted Petition Form

By providing your email address below your authorize for a PDF copy of your submitted peition to be emailed to you. Your email address will not be stored, it will only be used for this purpose unless unless authorized.

Email Address ( Optional)

I authorize for my email address to be shared with the Princess Blanding campaign.