2019 Ballot Request Form (e-ballot/paper)

CLICK HERE FOR THE 2019 BALLOT REQUEST FORM

Please note: If you are prompted to login to a google account please ignore this prompt. You do not need a google account to fill out this form. You information collected in this form is securely stored on Pacifica’s server.

This year we are implementing an electronic ballot (e-ballot) election in order to save money and trees.

Please fill out this form if:
1) You may not have given your email to membership
2) You need to update your email to receive an e-ballot
3) You need a paper ballot

Members who need a paper ballot can also have the option of leaving a voicemail at 510-854-9663 with their name, number and address.

Please fill out 1 ballot per member.

Ballot will go out August 15th, 2019 and must be received by October 15th, 2019.