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.