Precinct Delegate Registration

Phone

This field is for validation purposes and should be left unchanged.

Have you filed for precinct delegate?

Yes

No

Name

First Last

Email

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Church/Organization Name

If you don't have one, skip this question.

Obtain the following info from your voter registration online at: michigan.gov/vote

Congressional District

If you are uncertain, skip this question.

Voting Precinct

Political Party

Democrat

Republican

Other

Have you been a precinct delegate before?

Yes

No

Are you interested in recruiting others?

Yes

No

Maybe

If you have questions about the filing process, reach out to us via the contact page on our website.