Ballot Measure Argument Signature Form
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1Ballot Measure Argument Signature Form
No more than five signatures shall appear with any argument
This form is required to be submitted by the Filer.
Every Signer of the argument must be listed on this form, including the Filer if applicable.
Check one of the following
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Primary Argument in Favor of Measure
Primary Argument Against Measure
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Rebuttal to Argument in Favor of Measure
Rebuttal to Argument Against Measure
We, the undersigned proponent(s) of the above checked measure argument have agreed to include our names as
Signers of the submitted measure argument for the election dated ______/______/______, and that the contents thereof
are accurate to the best of our knowledge, and are aware that our names will be printed with the argument in the Marin
County Sample Ballot Booklet.
1) Proponent’s Signature: __________________________ Printed Name: __________________________________
Title (if applicable):_________________________ Representing (if applicable): ________________________________
Residence Address __________________________________________ City _________________________________
2) Proponent’s Signature: __________________________ Printed Name: __________________________________
Title (if applicable):_________________________ Representing (if applicable): ________________________________
Residence Address __________________________________________ City _________________________________
3) Proponent’s Signature: __________________________ Printed Name: __________________________________
Title (if applicable):_________________________ Representing (if applicable): ________________________________
Residence Address __________________________________________ City _________________________________
4) Proponent’s Signature: __________________________ Printed Name: __________________________________
Title (if applicable):_________________________ Representing (if applicable): ________________________________
Residence Address __________________________________________ City _________________________________
5) Proponent’s Signature: __________________________ Printed Name: __________________________________
Title (if applicable):_________________________ Representing (if applicable): ________________________________
Residence Address __________________________________________ City _________________________________
If representing an organization, association, or governing body, Signers must have written authorization on letterhead signed
by at least one of its principal officers or officials and submitted with this document.
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