• Dynamic Rotator
  • Dynamic Rotator
  • Dynamic Rotator
  • Dynamic Rotator
  • Dynamic Rotator
  • Dynamic Rotator
  • Dynamic Rotator
  • Dynamic Rotator
  • Dynamic Rotator
  • Active Registered Voters as of
  • Republicans:
  • Democrats:
  • NPAs
  • Minor:
  • Total:

Straw Poll Request Form

My office will be available to conduct straw polls between April 9, 2018 and July 1, 2018.

If your organization would like us to assist with your straw poll, please fill out the request form below.

Please note: Due to our busy election schedule, straw poll events will be booked on a first come, first served basis.

Contact Information:
Not Required
Required
Not Required
Required
Not Required
Required

Event Information:
Not Required
Required
Required
Required
Not Required
Not Required
Not Required
Not Required

Event Details:
Not Required
Meal Served?
Meal Served?
Not Required
Press Present?
Press Present?
Not Required
Q & A Session?
Q & A Session?
Not Required
Not Required
Send  Reset

Home

Restoration of Rights 
Custodian of Public
Records Contact:


Lori Scott
2725 Judge Fran Jamieson Way
Bldg C., Suite 105
Viera, FL 32940
Phone: 321-633-2124
Fax: 321-633-2130
Email: Records@VoteBrevard.com

 Just for Kids