HTML BlockThank you for requesting 10-up signature forms from us.

We appreciate your desire to gather signatures on our behalf!

With the information below, we will quickly get a 10 Signature Petition Packet into the US Mail. You should receive it in 7-10 days.
NameTeri Rippy
Address1799 Nut Tree Dr NW
Salem 97304
Map It
Phone503-880-8629
EmailEmail hidden; Javascript is required.
Mid Summer Alert10-Up sheets are now available! We will print and postal mail Elections Division compliant sheets to you.
How do you plan on using the 10-up sheets?
  • Upcoming event
Fulfilled Date03/15/2026
Number of 10-up Sheets Requested50
Form UUIDC810-83076CAF-4FC8-664BF119B2D3-AC2B
GF Form ID53
Entry UUID9b6f3111d712