APPLICATION FOR NOMINATION BY NONPARTISAN PRIMARY
State of Wyoming | ) | |
) | ss | |
County of .... | ) |
I, ...., swear or affirm that I was born on ...., that I have been a resident of the State of Wyoming since ...., and that I am a registered voter of ....County, residing at ...., and that I am eligible to be elected to such office, and I hereby request that my name be printed upon the official nonpartisan ballot at the next primary election as a candidate for the office indicated below as follows:
(Name of office).
I am seeking (1) the regular term or (2) the unexpired term which terminates on the ....day of ...., ....(year).
Dated this ....day of ...., ....(year).
.......................Signature
W.S. 22-5-205