| KOMITET WYBORCZY WYBORCÓW FORUM SAMORZĄDOWO-LUDOWE | |
| Specification | KOMITET WYBORCZY WYBORCÓW FORUM SAMORZĄDOWO-LUDOWE |
| Short name: | KWW FORUM SAMORZĄDOWO-LUDOWE |
| Type of committee: | Election committees established by electors in communes under 20 000 inhabitants |
| Address: | ul. Chodzieska 13/8, Rataje, 64-800 Chodzież |
| Electoral plenipotentiary: | Wojciech Józef Dymek |
| Financial plenipotentiary: | Wojciech Józef Dymek |
| Number of submitted lists: | 1 |
| Number of candidates: | 1 |