Shall West Virginia Lottery table games be permitted at the [name of licensed racetrack]?
[ ] Yes[ ] No
(Place a cross mark in the square next to your choice.)
Petition For Local Option Election
We, the undersigned legally qualified voters, resident within the County of __________________, do hereby petition that a special election be held within the County of _________________ upon the following question: Shall West Virginia Lottery table games be permitted at the [name of racetrack]?
NameAddressDate
(Post office or street address)
W. Va. Code § 29-22C-7