Candidate's Information

2. First Name*

3. Last Name*

5. Phone Number*

   Please enter it as XXX-XXX-XXXX

6. Email Address*

8. Website address (URL)

10. Campaign Headquarters Mailing Address*

12. City*

13. State*

14. Zip Code*

16. Candidacy (Office Desired)*
    -- Select One --Mayoral CandidateAldermanic Candidate Ward 1Aldermanic Candidate Ward 2Aldermanic Candidate Ward 3Aldermanic Candidate Ward 4Aldermanic Candidate Ward 5Aldermanic Candidate Ward 6Aldermanic Candidate Ward 7Aldermanic Candidate Ward 8Annapolis Democratic Central Committee - Primary ONLYAnnapolis Republican Central Committee - Primary ONLY

17. Party Affiliation*
    -- Select One --DemocratRepublican Unaffiliated

19. Treasurer First Name*

20. Treasurer Last Name*

22. Treasurer Phone Number*

    Please enter it as XXX-XXX-XXXX

23. Treasurer Email Address*

25. Campaign Manager First Name

    If you have a Campaign Manager, please fill out all the fields below

26. Campaign Manager Last Name

28. Campaign Manager Phone Number

    Please enter it as XXX-XXX-XXXX

29. Campaign Manager Email Address

31. Campaign Manager Address

33. City

34. State

35. Zip Code

37. Attach Your Photo*

    You must upload a photo in jpg or gif format. The file (picture) should not exceed 25 MB

39. Biography*

Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field