Circulator Form - 13-0014

For those who will be responsible for each circulating party or group.
PDF Download Here

Please sign the form and letter and forward it to me prior to obtaining any petition signatures at:

Pastor Allan Esses
c/o  Yes Jesus Is Lord.org
5319 University Dr.  Ste. #133 
Irvine, Ca. 92612

 

  • Circulator Form - Download PDF

    I, (Print)______________________________________ , am registered to vote in the County (or City and County) of

    ______________________________________________________,or am qualified to register to vote in California. My residence

    address (address, city, state, zip) is ___________________________________________________________________________

    My Email address is ___________________________________________________________________________________

     

    I,(PRINT) _________________________________________acknowledge that it is a misdemeanor under state law (Section 18650 of the Election Code) to knowingly or willfully allow the signatures on an initiative petition to be used for any purpose other than qualification of the proposed measure for the ballot. I certify that I will not knowingly or willfully allow the signatures for this initiative to be used for any purpose other than qualification of the measure for the ballot.

     _____________________________
    (Signature of Circulator)


    Dated this ______  day of ___________________, 20____

     

    If there are any questions please e-mail me at:
    PastorAllan@YesJesusIsLord.org.

    Please sign the form and also this letter and forward it to me prior to obtaining any signatures at:

    Pastor Allan Esses
    c/o  Yes Jesus Is Lord.org
    5319 University Dr.  Ste. #133 
    Irvine, Ca. 92612


    PLEASE REMEMBER:the prohibition of the use of signatures on an initiative petition for a purpose other than qualification of the proposed measure for the ballot. (Section 9607)

    Thank you,
    God bless you,
    In Jesus Christ our Lord and Savior,
    Pastor Allan


    Jesus Christ is Lord, to the glory of God the Father. Phil 2:11
    Jesus saith unto him, I am the way, the truth, and the life: no man cometh unto the Father, but by me.   John 14:6