Lori Edwards, Polk County Supervisor of Elections
Home > Outreach > Community Involvement Request Form[Print Page]

Community Involvement Form

If you are interested in the elections office participating in an event hosted by your organization, please fill in the information below or contact our office at (863) 534-5888.

We can provide voter registration, participate in a parade, set up a booth for voter information, or make a speech for your organization.

Contact Name:

Organization:

Street Address:

City:

State:

Zip:

Day Phone:

E-mail Address:

Date of Event:

Type of Services:
(hold [Ctrl] on PC or [Apple] on Mac to select more than one)

Event Details: