N.J. Stat. § 40:76-21
The municipal clerk shall provide ballots for each voter at such special election, to be printed on plain, substantial, white paper. The number of ballots to be provided by the clerk for each voting district in the municipality shall be at least fifteen per cent more than the total number of persons that voted in such district at the last preceding general election. The ballot shall be in substantially the following form:
"To vote upon the public question printed below, if in favor thereof mark a cross (X) or plus (+) in the square at the left of the word YES, and if opposed thereto mark a cross (X) or plus (+) in the square at the left of the word NO.
" "Shall the ........................(name
of municipality) abandon its government under
[ ] YES chapters 70 to 76 of the title Municipalities
and Counties of the Revised Statutes (s. 40:70-1
et seq.), commonly known as the "Walsh Act",
and resume the form of government under
[ ] NO the law under which it was operating at the
time when such commission form of government
was adopted, subject to any amendments and
supplements to such laws which have been
passed in the interim?' "
N.J.S. § 40:76-21