The declaration of a candidate for delegate shall be in substantially the following form:

I desire to be a candidate, at the presidential primary to be held onthe ____ day of ____, 20_, for delegate to the next nationalconvention of the ____ Party with which the Peace and FreedomParty of California is affiliated on the national level and I will qualifyas a delegate if elected.

I personally prefer ____ as the nominee of the Peace andFreedom Party for President of the United States, and hereby declareto the voters of the Peace and Freedom Party in the State ofCalifornia that if elected as delegate to the national party convention,I shall to the best of my judgment and ability, support ____ as thenominee of the Peace and Freedom Party for President of the UnitedStates. (This statement of preference shall be omitted where thecandidate for delegate is part of a group not expressing a preferencefor a particular presidential candidate.)

I declare under penalty of perjury that the foregoing is true andcorrect.

Executed at ______, California, this ____ day of ____,20_.

_____

(Signed)