This software application will need to record your name, your Antoine Nation membership number, and the Date to validate your vote.
Name:
AN Membership Number: /* Email: /* /*
Telephone: /*
Month: Select the current month October November
Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Vote on the proposed constitution
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