Title is required.
Use your full first name. Do not use nicknames or initials.
This field is required.
optional
You must be a U.S. citizen to register

Previous Name

Title is required.
Use your full first name. Do not use nicknames or initials.
This field is required.
optional
Put your home address in these boxes. Do not put your mailing address here if it is different from your home address. Do not use a post office box or rural route without a box number. If you live in a rural area but do not have a street address, or if you have no address, please show where you live using the map on the printed form.
Not in AZ?
Enter a valid 5 digit zip code.
If you receive mail at a different address, please enter it here.
Enter a valid 5 digit zip code.
If you have moved since your last registration, enter your previous address.
Enter a valid 5 digit zip code.
If you have an Arizona driver's license or non-operating identification issued after October 1, 1996, write the number in box 6 on the NVRA form. This will serve as proof of citizenship and no additional documents are needed. If not, you must attach proof of citizenship to the form. Only one acceptable form of proof is needed to register to vote.
Enter your birthdate in MM/DD/YYYY format.
Enter a phone number in xxx-xxx-xxxx format.
For presidential preference elections, the registrant needs to be registered under a recognized party. For all other primary elections, voters registered as independent, no party preference or members of a party without ballot recognition are allowed to vote in the partisan Primary Election of their choice of one of the recognized political parties. Voters who are registered with a recognized political party will receive their political party's early ballot. Only registered members of the Arizona Libertarian Party may vote in the Libertarian Party Primary Election.
The state of Arizona does not request information about your race or ethnicity. However, Rock the Vote would appreciate this information in order to measure the effectiveness of our voter registration efforts. This information will NOT appear on your printed voter registration form.

Survey Questions (optional)

Optional
Optional