Election Materials Order Form.

Use this form to order voter lists or labels, election results and precinct committeeman lists or labels. You will be contacted regarding cost and payment. Note that "Such tapes, disk or election data shall not be used...for commercial solicitation or other business purposes." [Chapter 10 ILCS 5/6-35]
Name: *
Address 1: *
Address 2:
City:
State:
Zip: *
Email: *
Daytime Phone: ()-*
Purpose for Requested Material:*
* indicates required fields

Instructions. Please select the type of materials you need. Fill out each relevant section completely. Use the additional comments field at the bottom for any special requests, or for clarity. If you have any additional requests, you will be given the opportunity to do so upon submitting the form.
Voter Lists (please check either unmarked or marked)
Unmarked (Township, Precinct, Name, Address, Birth Date, Date of Registration) $2.00 per 1,000 records ($1/1,000 in electronic format)
Marked (Same as above plus Voter History for last five (5) years) $3.00 per 1,000 records ($1/1,000 in electronic format)
Format (pick one)
Electronic (ASCII Text--COMPLETED AFFIDAVIT REQ.)
Electronic (full-layout PDF--COMPLETED AFFIDAVIT REQ.)
Hard Copy
PARTY (or parties) Political Jurisdiction:
Township(s), Precinct(s), District(s) or other political jurisdiction: (enter as many as you need)
Democratic
Independent
Libertarian
Non-partisan
Republican
All
Sorting Preference (e.g., by Township/Precinct/Name, District/Name etc...)
Voter Labels (please check either household or individual)
Household (One (1) label per address per last name) $10.00 per 1,000 labels
Individual (One (1) label per registered voter) $10.00 per 1,000 labels
PARTY (or parties) Political Jurisdiction:
Township(s), Precinct(s), District(s) or other political jurisdiction: (enter as many as you need)
Democratic
Independent
Libertarian
Non-partisan
Republican
All
Sorting Preference (e.g., by Township/Precinct/Name, District/Name etc...)
Election Results (per election) $25 per hard copy or $1.00 per thousand in electronic format
ordered by precinct only
Election Year:
Format (pick one)
Electronic (ASCII Text)
Electronic (full-layout PDF)
Hard Copy
Primary (choose party or parties below) Race or political jurisdiction:
Democratic
Republican
Libertarian
General
Consolidated General
Consolidated Primary

Listing of Precinct Committeeman
Lists--No Charge
Democratic Political Jurisdiction:
Township(s), Precinct(s), District(s) or other political jurisdiction: (enter as many as you need)
Republican
Libertarian
Format (pick one)
Electronic (ASCII Text)
Electronic (PDF)
Hard Copy
Labels--$10 per 1,000 labels
Democratic Political Jurisdiction:
Township(s), Precinct(s), District(s) or other political jurisdiction: (enter as many as you need)
Republican
Libertarian
 
 
 
 
MAPS
Precinct (11" X 17")--$2 each
Township (24" X 30")--$6 each
Custom District Maps (up to 34" X 44")--$10

Indicate the DuPage County Precinct, Township or District area to be displayed in map:
 

Help us complete your order accurately and efficiently. Please include any additional comments regarding your order.