Declare your candidacy for one of the following office or position: *
By typing my name below, I, the candidate named herein, do certify that I am an enrolled member of the Democratic Party of Hawaii, will abide by its State and County of Kauai bylaws and rules.
Your name *
Your answer
Residential Address -Street, City, State, Zip Code *
Your answer
Mailing Address-if different from above
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e-mail address *
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Phone/Cell *
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Please describe your qualifications and/or your comments (optional):