Insert full name of nominee.
Insert address of nominee.
(i.e. Mayor, Councilmember-at-Large, Councilmember Ward 1, Councilmember Ward 2, Councilmember Ward 3)
Insert Fridley, MN address.
Insert name of office filing for.
Type full name (first, middle, last) in lieu of a handwritten signature. By typing your name you certify you approve this submission and are allowing this form to act as the official submission of your nomination.)
This field is not part of the form submission.
* indicates a required field