Declaration of Candidacy For the Democratic Nomination 77th House of Delegates District

Democratic Party of Virginia

I, the undersigned, hereby state that I am a Democrat, that I do not intend to support any candidate who is opposed to a Democratic nominee in the next ensuing election, that I am not a member of any other political Party, have not participated and will not participate in the nomination process of any other Party for the 2016 general election, do not intend to run for the 77th House of Delegates as an independent candidate, and I am a registered voter, in the district, precinct, and county listed below

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DEADLINE: WEDNESDAY, AUGUST 10, 2016 AT 5 PM

This form and the filing fee must be hand-delivered to Mr. Glenn Francis, Chair of the Nominating Committee by 5PM on Wednesday, August 10, 2016. Forms received after the deadline will not be accepted.

Phone Contact: 757-320-6965 (Glenn Francis) 757-630-5911 (Sarah Sugars)

Hand Delivery Address:

Mr. Glenn Francis, Chair, Nominating Committee
1923 Candlelight Drive
Chesapeake , VA 23325