Request for removal of information from DELAWAREVOTERS.INFO Your voter ID number is REQUIRED and is shown on the website. Last name: ___________________________________ Given name(s):______________________________ Delaware voter ID number:______________________ Your address as shown on individual detail page: ____________________________________________ ____________________________________________ Birth year as shown on DELAWAREVOTERS.INFO:___________________________ I attest that I am the person whose information appears above, and I hereby ask Tom Alciere to remove information about me from all his website pages. __________________________________________ Date_______________20____ Signed and attested before me, a notary public, on this the ________ day of _____________________20_____ __________________________________ My commission expires____________________20______ This form must be notarized and you must write the webmaster's name (Tom Alciere) correctly on the envelope. If you are worried about check forgery, sign with your other hand, so it won't match the signature card at the bank. Mail this form to: Tom Alciere, PO Box 106, Nashua NH 03061. Regular mail works best.