Nomination Forms

Help get Derrick Van Orden elected.

  1. Please download the attached nomination form.
  2. Print out as many copies as you need.
  3. Have each supporter complete the signature line of the page with the required information (printed name, signature, address and date of signing)
  4. Sign the certification of circulator on each page.
  5. Mail the completed forms back to the campaign. Forms must be mailed no later than May 26, 2020

    Van Orden for Congress
    PO Box 824
    Chippewa Falls, WI 54729  

  6. If you have any questions, please email: tara@vanordenforcongress.com
Nomination Paper