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Polling Place Contact Information <br />Early Voting Polling Location : <br />Intergenerational Recreation Center <br />Please complete the information below; then return to us with the completed Agreement. <br />(Please print clearly) <br />• Main Contact Person: <br />Telephone # (s): Office: <br />Home: <br />Cell: <br />Email: <br />• Secondary Contact Person: <br />Telephone # (s): Office: <br />Home: <br />Cell: <br />• Is there any upcoming construction at your location? Yes No <br />• Who is responsible for the moving of furniture, etc. to make room for the polling room set up? <br />Polling Location OR Elections Office <br />• Will the Elections Office be given a key and alarm code to your location? Yes No <br />• if the Elections Office is not provided a key and alarm code, will the Contact Person listed, provide <br />access to the Elections Office staff every day of early voting by 7:00 a.m.? Yes No <br />If the contact person is letting the Elections Office staff into the location, <br />you must fill out the Emergency Contact Person Information below: <br />Emergency Contact Person: <br />Telephone # (s): Office: <br />Home: <br />Cell: <br />Rn <br />