Name ____________________________________ (Print) Address ______________________________ _______________________________________ _______________________________________ I hereby request that my political party registration be changed as follows: From: Democrat [ ], or Republican [ ], or (name of any party determined by the secretary of state to have achieved official status under RSA 652:11) [ ] To: Undeclared [ ] Signed under the pains and penalties of perjury. ______________________________________________ Date ______________
RSA 654:34
1979, 400:3, 4; 436:1. 1981, 308:3-5. 1987, 129:2. 1993, 193:2-5. 2010, 172 : 8 . 2011, 73 : 1 . 2012, 113 : 2 , 3, eff. May 31, 2012. 2018, 165 : 1 , eff. Aug. 7, 2018.