ACT for Diabetes

Register to Vote

Are you registered to vote?

Please fill in your information below to register to vote.

The information you submit in the form below will auto-fill the National Mail Voter Registration Form.

  • Please refer to the General Instructions for additional required information, like a Driver’s License or Social Security number, and an acknowledgment that you are 18 years or older.
  • You must print and sign the form for the registration application to be valid.
  • After the form is completed, please print and mail it. Refer to the State Specific instructions on the following page to locate the correct mailing address.

Register to vote.