Initiative Measure No. ____, entitled (here insert the ballot title of the initiative measure).
Alternative Measure No. ____ A, entitled (here insert the ballot title of the alternative measure).
FOR APPROVAL OF EITHER Initiative No. ____
OR Alternative No. ____ A ( )
AGAINST BOTH initiative No. ____
AND Alternative No. ____ A ( )
AND VOTE FOR ONE:
FOR Initiative Measure No. ____ ( )
FOR Alternative Measure No. ____ A ( )