Proposed amendment to the Constitution
of the United States.
The Congress has proposed an amendment to the Constitution of the United States which provides (insert here the substance of the proposed amendment).
The Congress has also proposed that the said amendment shall be ratified by conventions in the states.
Instructions to voters
Do not vote for more than fifteen (15) candidates.
To vote for all candidates who favor ratification, or for all candidates who oppose ratification, make a mark in the circle at the head of the list of candidates for whom you wish to vote. If you do this, make no other mark.
To vote for an individual candidate make a mark in the square at the left of the name.
ÿ
Favors ÿ Opposes
Ratification ÿ Ratification
ÿ
( ) ÿ ( )
ÿ
( ) John Doe ÿ ( ) Charles Coe
( ) Richard Roe ÿ ( ) Michael Moe
( ) ÿ
ÿ
WARNING - The above text was curent June 2003, but may be outdated now.