2. Registration to File Campaign Reports Electronically

4. This information is required to create filer accounts in the Easy Vote Campaign Finance Software. After the account is established, the candidate and alternate filer (if applicable) will complete registration. Notice will be provided when the account setup is complete and when electronic filings can begin.

6. Candidate's First Name*
7. Candidate's Last Name*
9. Primary Phone Number*
10. Secondary Phone Number*
12. Email Address*
14. Residential Address*
16. City*
17. State*
18. Zip Code*

20. Add mailing address below if not the same as residential address.

22. Mailing Address
24. City
25. State
26. Zip Code

28. In accordance with Official Code of Georgia 21-5-34(a)(4), the campaign committee chairperson or treasurer may file disclosure reports for the candidate. Complete the section below to identify your chairman or treasurer.
    

30. Alternate Filer's First Name
31. Alternate Filer's Last Name
33. Check the box that applies:

    1. Chairperson

    1. Treasurer
35. Primary Phone Number
36. Secondary Phone Number
38. Email Address
40. Residential Address
42. City
43. State
44. Zip Code

46. Add mailing address below if not the same as residential address.

48. Mailing Address
50. City
51. State
52. Zip Code
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field