Coalition for National Referendum

Vote on Protecting the American Flag

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

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Last Name: *
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Question 1: Should an Amendment to the United States Constitution be enacted to protect the American Flag?
Yes
No

 

Please contact me by email with the result of this vote. Thanks!

Yes
No

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

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: pafvote@nationalreferendum.org. 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. We do remind you that all ballots will be verified by voting records. It is not necessary to have an email address for those votes submitted through the regular postal mail system. Thank you!