Coalition for National Referendum

Referendum Questions Written by Congressional and Statewide Candidates


Ken Payne, Republican Party Congressional Candidate, 5th Congressional District, California

Please fill out all fields. You may 'Print' this form if you would rather mail the vote. Otherwise, click on 'Submit' when finished. Thanks!

Fields with * are required.

Title:  
First Name: *
Middle Initial:
Last Name: *
Address: *
City: *
State: *
Zip Code: *
Email: *


Question 1: Should firearms be more strictly regulated?
Yes
No
Undecided

Question 2: Should licenses be required for firearm ownership and use?
Yes
No
Undecided

If you wish to mail the ballot, mail to:
Coalition for National Referendum
99 Clinton Street Suite 111
Concord, NH 03301

Please feel free to copy and print this ballot page and distribute to others so that they may vote. You can also send more than one person's ballot in the same envelope. It is not necessary to have an email address for those votes submitted through the regular postal mail system. Thank you!