OFFICIAL BALLOT

Global Presidential Primary

March 1-8, 2016
INSTRUCTIONS
Your ballot must include all the information required below. It must be signed and dated to be valid. Please print clearly in blue or black ink.
Emailed or faxed ballots must be received by Democrats Abroad no later than 24:00 CET on March 8, 2016. Mailed ballots must be dated no later
than March 8, 2016 and must be received no later than 6:00PM local time on March 13, 2016.

Tick one of the following options:

Returned by email to

PrimaryVoting@democratsabroad.org

Returned by fax to

+1-888-958-6739

Returned by mail to

YOUR PERSONAL DETAILS

Full name of voter (required):

Membership number (optional):

__________________________________________________

__________________________________________________

Country of residence / membership (required):

Date of birth (required):

__________________________________________________

__________________________________________________

Email (if any, and required if ballot returned by email):

Telephone (if any):

__________________________________________________

__________________________________________________

Physical address overseas (required, no P.O. boxes):

US voting address (exact if known, state required):

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

YOUR VOTE
Vote for one candidate only. Please fill in the oval next to the name. For example,
Hillary Clinton

Roque Rocky De La Fuente

John F. Kennedy:

Martin J. OMalley

Bernie Sanders

Uncommitted

DECLARATION
I do hereby register for this Primary and do certify that I am a US Citizen residing temporarily or permanently outside the United
States and that I possess the qualifications required to vote in this Primary in that I will be an eligible voter on November 8, 2016. I
am a member of Democrats Abroad. I have the interest, welfare and success of the Democratic Party of the United States and of
Democrats Abroad at heart and subscribe to the substance, intent and principles of the Charter and Bylaws of the Democratic Party
of the United States and the Charter of Democrats Abroad. I have not participated and will not participate in the delegate selection
process (caucus, primary or other method) of any other delegation to the 2016 Democratic National Convention or in the nominating
process of any other political party for the corresponding elections, nor voted in any other manner in the Democrats Abroad Primary. By signing below, I attest that all information provided is true and correct.
Signature: ______________________________________________ Date: _________________________________

Instructions for Remote Voting

in the 2016 Global Presidential Primary of Democrats Abroad
Are you eligible to vote in the Global Presidential Primary?
To cast a ballot in the Global Presidential Primary, you must:
be a citizen of the United States of America;
reside permanently or temporarily outside the states and territories of the U.S.A.;
be a member of Democrats Abroad and subscribe to principles of the Democratic Party; and
have not voted (nor will vote) in any other 2016 presidential primary or caucus. (You may vote
in your home states primaries for candidates for the U.S. Senate, U.S. House of
Representatives, and where permitted by your local election official, state and local elections
and ballot measures.)
If you are not yet a member of Democrats Abroad, you must join before completing your ballot.
You can join at http://www.DemocratsAbroad.org/join
If you are not sure whether you are a member, consult your local leader of Democrats Abroad or
try activating your online account at http://www.DemocratsAbroad.org/login If you are unable to
activate your account, please fill out the Join form on the website to ensure that you are a member.

Step 1: Print Your Ballot

To save paper and other costs, print only the first page of this file. You should not return these
instructions with your completed ballot.
Please print the ballot on a single page. The ballots contents will fit on a standard American-size
letter or A4 paper. Do not print a smaller image, because that will make your details too difficult to
read.
If you opted for an auto-filled ballot, please check all parts of the ballot. Be sure that all the
required information appears on your ballot. If there are errors, you may cross them out and write
the correct information nearby.
If you received a ballot on paper by mail, check the accompanying letter for your membership
number. You should copy that number to the appropriate part of your blank ballot.

Step 2: Fill Out Your Ballot

You must provide the following information in a legible manner:
Your full name
Your country of residence (usually the same as your membership country in DA)
Your date of birth (please use the American standard, MM/DD/YYYY)
Email (obligatory unless you do not have one at all; obligatory if you return your ballot by
email)
Telephone (obligatory unless you do not have one)
Physical address of your residence outside the United States
U.S. voting address (place of last residence; description allowed if postal address unknown)
If you know your Democrats Abroad membership number, please write it in the appropriate space.
Having this number will lighten the load of our vote-counters tremendously. You can find your
membership number by asking your local leader of Democrats Abroad, or logging into the
Democrats Abroad website at http://www.democratsabroad.org and visiting the Account Settings
page.
Finally, be sure to fill in the oval to the left of your preferred Presidential candidate!
The Global Presidential Primary does not allow secret ballots. (For more information on the
Democratic Party rules that require a signature and the tradition behind it, please see the short
article posted on our website.)

Step 3: Sign Your Ballot

The Declaration is required by the rules of the Democratic Party. By signing, you declare that you
will not vote in another Presidential primary or caucus and that you will not participate in any
other Presidential nominating process.
You are permitted, and in fact encouraged, to participate in non-Presidential primary elections in
your U.S. state of residence, such as primaries for U.S. Senate, U.S. House of Representatives, and
where permitted by your local election official, state and local elections and ballot measures.
You must sign and date the Declaration in order to complete your ballot, and you must do so by
March 8, 2016, the end of the Global Presidential Primary.

Step 4: Scan, Fax, or Mail Your Ballot

You can return your completed ballot one of three ways: by postal mail, by fax, or by an
attachment to an email message.
If you choose to return your completed ballot by postal mail, it is your responsibility to use
enough postage and follow whatever rules and practices required to ensure the safe delivery of a

legible ballot. Ballots received after March 13, 2016 will not be valid. All voters may send
completed ballots to:
International Chair, Democrats Abroad
Stettenerstr. 61
83209 Prien, Germany
If you live in a country with an organized committee of Democrats Abroad, you may be able to
mail your ballot to an address in your country. Please consult the list of countries below to see
whether there is a local address available to you.
If you choose to return your ballot by fax, use the telephone number below by 24:00 CET on
March 8, 2016. It is not necessary to use a cover page. As with all methods, it is your
responsibility to ensure successful delivery. The fax number is a United States telephone number:
+1-888-958-6739
If you choose to return your ballot by attaching a file to an email message, you must first create
an image file of your ballot. Please check the image before sending, particularly if you use the
camera on your phone to create the file. (Full-size scanners produce the best image files.)
Then you must compose an email message as follows:
To: PrimaryVoting@democratsabroad.org
Subject: Ballot delivery, [Your last name]
Message:
Full name: [Your full name as on your ballot]
Country: [Your country of residence]
Contact: [Your telephone number or full postal address]

Be sure to attach the image file of your ballot before sending the message! You will not receive an
error message or automatic response if you fail to include a legible image of your ballot.
If you choose to return your ballot by attaching a file to an email message, then you are
responsible for ensuring that
the file is in a commonly-used format: pdf, jpg, gif, tiff, or png;
the digital image is completely legible, including its size and resolution;
the email message with attachment is successfully delivered to the appropriate email address
by 24:00 CET on March 8, 2016; and
the file and email message are not corrupted and contain no viruses or other malicious code.
If there are problems with your email message or the attached file, Democrats Abroad does not
have any obligation to contact you and may simply treat the ballot as spoiled. While Democrats
Abroad will strive to answer reasonable inquiries, we cannot guarantee a timely response to
questions regarding the status of your ballot.

Additional Notes
After you submit a Remote Ballot, you may not vote in-person at a Voting Center or submit a
second Remote Ballot at a later date. You may only vote once in the Global Presidential Primary!
If you need help, your questions are welcome at PrimaryVoting@democratsabroad.org. Please
keep in mind that this email account is managed by volunteers.

Appendix: Local Postal Addresses

This list is also available in a larger font at http://www.democratsabroad.org/GPP/
Australia
Todd St Vrain
UTS Faculty of Law
Room 513, Bldg 5 Block B
PO Pox 123
Ultimo 2007 NSW Australia
Austria
Keith M Jacomine
Mariahilferstrasse 7
Top 2
1060 Vienna
Austria
Belgium
Tiffany Fliss
379 Chaussee de Roodebeek
1200 Brussels
Belgium
Canada
Krista Leben
283 Macoun Circle
Ottawa, ON K1T0H8
Canada
Chile
Brittany Brown
Carlos Antunez 2150
Depto 905
Providencia, Santiago
Chile

Costa Rica
Katherine Rothschild
Apartado 32-3100
Correo Santo Domingo
Codigo Distrital 40301
Santo Domingo de Heredia
Costa Rica
Czech Republic
Julia Bryan, Vero Partners
Karlovo namesti 28
12000 Praha 2
Czech Republic
Denmark
Ilya Katsnelson
IFS ApS
Petersdalvej 1A
DK-2770 Kastrup
DENMARK
Dominican Republic
Rosanna Trinidad, Secretary DADR
Av. 27 de Febrero #213,
Edificio Luxury Auto
Naco, Santo Domingo
Dominican Republic

Germany
Shari Temple
Nordstrasse 3
85417 Marzling
Germany
Greece
Karen Lee
Keas 33
Plateia Koliatsou
Athens 11255
Greece
Guatemala
John Chudy
Callejn del Espritu Santo No. 1
Antigua, Sacatepequez, 03001
Guatemala
Hong Kong
Glenn Berkey
GPO Box 819
Central, Hong Kong
Hungary
Marylin Ball Brown
Dever utca 23
2112 Veresegyhaz
Hungary

France
Democrats Abroad France
chez The Mona Bismarck American Center
34, avenue de New York
India
75116 Paris, France
Alok Mehrotra
Villa 19, Prestige Bougainvillea,
ECC Road, Whitefield
Bangalore, India 560066

Ireland
TJ Mulloy
130 Custom House Harbour
IFSC, Dublin 1
IRELAND

Peru
Samantha Tate
438 Jorge Vanderghen
apartment 301 San Isidro, Lima
Peru

Thailand
Phil Robertson
289/619 Naradhiwas Rajanagarindra Soi 24
Chong Nonsi, Yannawa
Bangkok 10120, Thailand

Italy
Anthony M. Quattrone, Ph.D.
The International School of Naples
Viale della Liberazione, 1
(ex Base NATO)
80125 Naples, Italy

Philippines
Irene Donohue
8 Wack Wack Road, 30B
Wack Wack, Greenhills East
Mandaluyong, Manila, Philippines

United Kingdom
Democrats Abroad UK
Suite 823
19-21 Crawford Street
London W1H 1PJ

Portugal
Tristan Averett
Rua de Junqueira 259, 2 d
1300-338 Lisbon, Portugal

Ukraine
Reno Domenico
7 Nesterovskiy Lane, office 12
04053 Kyiv, Ukraine

Russia
Jacob Andrew Alt
Prospect Vernadskogo 84, k 8, apt 2630
Moscow, Russia 119571

United Arab Emirates

Courtney Hagen
Landmark International
Level One, Oasis Centre
Sheikh Zayed Road
PO Box 111824
Dubai UAE

Japan
Tom Schmid
1-15-35 2F Horinouchi
Suginami-ku, Tokyo-to 166-0013
Japan
Luxembourg
Will Bakker
55, Avenue Guillaume
L-1651, Luxembourg-Ville
Luxembourg
Mexico
Larry Pihl
Rio Papaloapan #66
Ajijic, Jalisco 45920
Mexico
The Netherlands
Jeff Rupp
Herengracht 304
1016CD Amsterdam
The Netherlands
New Zealand
NZ mailing address upon request
Email: danz.ballots@warpmail.net
Norway
Brad Larson
Tiurvien 31
3030 Drammen
NORWAY
Panama
ONQ Contact Center
Attn:
Sean Hammerle, DA Panama Secretary
0923-00142, Santiago de Veraguas
Republica de Panama

Singapore
Lance DuBos
311A Clementi Avenue 4
25-165
Singapore 121311
Spain
Sue Burke
Calle Agustn Querol, 6 bis - 6 D
28014 Madrid
Spain
Sweden
Mary Ballard Johansson
Lska Knattegrden
45748 Hamburgsund
Sweden
Switzerland
Peter Butterfield
Rue Bourg-de-Four 8
1170 Aubonne
Switzerland
Taiwan
John Eastwood
c/o Eiger Law
Ren Ai Road, Section 4
No. 25-2, Building A 12/F
Taipei 10685, Taiwan

Vietnam
Thinh Nguyen
92 Nguyen Huu Canh, Topaz 1, #2602,
Binh Thanh District, HCM city, Viet Nam