Town of Arlington Office of the Town Clerk 730 Massachusetts Avenue Arlington, MA 02476 Tel: 781-316-3070 [email protected] TO CANCEL YOUR VOTER REGISTRATION If you are moving to another community in Massachusetts, your Arlington registration will be cancelled when you register in the new community. If you are moving out of state, please complete the following information and send the signed form to the Town Clerk’s Office. Original signatures are required to make any change to voter registration. I wish to cancel my Massachusetts voter registration. Name: ____________________________________________________________________ Address in Arlington: ________________________________________________________ Date of Birth: ______________________ X _______________________________________________________ Signature Please tell us where you would like the written confirmation mailed: _______________________________________________________ _______________________________________________________ _______________________________________________________ To submit the form: You can email a scan or photo to [email protected] Use any Town Hall Drop Box Mail to: Registrar of Voters Arlington Town Hall 730 Massachusetts Avenue Arlington, MA 02476