Is this a Proxy registration for another CA reform
party member without Internet access:   Yes  No 

If Yes then please enter their name/address and your email address

First Name:   
Middle Name:  
Last Name:    
Email address: 
(You must enter a valid email address for us to process this registration)
Street Address: 
City: State: ZIP code :  
Phone (option):  
County:
(You need to include your county for us to confirm your CA reform party voter registration)
Choose a password to validate your participation:  
To confirm, please retype in the above password:  
Please write down the password for future access to this voting system

You will receive an automatic email confirmation of this input. 
Your registration will also be sent to the credential committee 
member for your county to confirm your CA Reform Party Registration. 
After that has been done, your password will be activated and you will 
have full use of this REFORMVOTE system.  If you have any further questions, 
please email the webmaster: John M. Humphrey at humphrey@uvote.com

Now you are ready to make comments on any issue raised in our system