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