Fillable Republican Party Of Texas Gop Data Center Access Request Form 2015 printable pdf download

Republican Party of Texas

GOP Data Center

Access Request Form 2012

2015

(PLEASE PRINT LEGIBLY AND COMPLETE ALL FIELDS)

 YES NO

Date: ______________________

Previous Voter Vault Authorized User?

Legal Name: __________________________________________

If YES, Previous Voter Vault Username: ___________________

(If NO, you may be notified of an in-kind contribution for your

Address: _____________________________________________

access to the GOP Data Center for reporting purposes)

City: _______________________

Zip Code: ______________

County: ______________________________________________

Voter Certificate Number (VUID): _________________________

Phone: ______________________________________________

E-mail address: ________________________________________________________________________________________________

Title / Office Held (check all that apply):

 SREC

 County Chair

 Party Officer

 Candidate/Campaign

 Volunteer

 Precinct Chair (Pct #______)

Party / Organization / Campaign: _________________________________________________________________________________

Reason for Access: _____________________________________________________________________________________________

Allow for five to seven business days for processing of this application. Ineligible applications may be delayed or rejected.

ACCESS WILL NOT BE GRANTED WITHOUT THIS FORM AND A SIGNED USER AGREEMENT FORM.

Mail, fax, or email this completed form and the signed user agreement to:

Republican Party of Texas ∙ 1108 Lavaca Street, Suite 500 ∙ Austin, Texas 78701 ∙ 512.480.0709 FAX ∙

P.O. Box 2206 Austin, TX 78768

512-480-0709 (Fax) (Email)

TEXAS VOTER FILE USER AGREEMENT

In order to gain access to the voter registration and other information contained in the GOP Data Center, you must affirmatively accept these terms by signing at the

bottom of the page to indicate your understanding of and agreement to the terms under which access to GOP Data Center is granted.

This Texas Voter File User Agreement (the “Agreement”) is entered into by and between the Republican Party of Texas (“RPT”), the Republican National Committee

(“RNC”), and the undersigned user (“User”).

In consideration of the mutual promises and agreements contained in this Agreement, including without limitation, the recitals set forth above, the value and

sufficiency of which are hereby acknowledged, the parties additionally agree as follows:

Non-Exclusive Access – User will be given non-exclusive access via the Internet to the portion of the Voter File deemed appropriate in the sole discretion of

the RPT and RNC (the applicable portion of the Voter File will be referred to as the “File” hereafter) for the limited use set forth in this Agreement.

Denial of Access – User understands that RPT may deny access to the File. Denial of access may occur due to: past Democrat primary voting history; User

has no justifiable reason for accessing the File; User uses the File to assist the Democrat Party or its candidate(s); User fraudulently updates information in

the File; User access to the File would be a violation of federal, state, or local statute; and any other legitimate reasons the RPT finds which may conflict

with the law or the operating rules/bylaws of the organization.

Limited Use – User agrees that he will use the File and use any information extracted from the File exclusively for political purposes for or on behalf of

User’s local party/organization/campaign/entity. User acknowledges that each and every individual within a local party/organization/campaign/entity that

is given access to the File must agree to this Texas Voter File User Agreement. Immediately after the authorized usage, all information derived from the

File shall be completely destroyed and/or erased from all storage devices upon which it resides. User agrees to avoid any action that may impair the RPT’s

or the RNC’s ownership rights in the File and its related information. User agrees that use of the File or any information contained therein is limited to the

duration of this Agreement. Further, User shall not disclose, transfer, duplicate, reproduce, or retain information contained in the File in any form or

manner, nor permit any employee, agent, contractor or third party to do so, except in those computer processing activities necessary to obtain the

information in a usable form for the authorized use of the File as set forth in this Paragraph 2. Under no circumstances will User make or permit any

commercial usage of the File or information contained therein.