I, the undersigned, an elector of the county of ____________, and state of Kansas, and a duly registered voter and a member of the __________ party, hereby nominate
_________________________
(Here insert name and city)
and state of Kansas as a candidate for the office of governor, and running with such candidate
_________________________
(Here insert name and city)
and state of Kansas as a candidate for the office of lieutenant governor to be voted for at the primary to be held on the first Tuesday in August in __________, as representing the principles of such party; and I further declare that I intend to support the candidates herein named and that I have not signed and will not sign any nomination petition for any other persons, for such offices at the next ensuing election.
(HEADING) | |||
Name of Signers | Street Number or RR (as Registered) | Name of City | Date of Signing |
All nomination petitions shall have substantially the foregoing form, written or printed at the top thereof. No signature shall be counted unless it is upon a sheet having such written or printed form at the top thereof.
K.S.A. 25-4005