\documentclass{article}
\usepackage[paperwidth=74.25mm,paperheight=210mm]{geometry}
\usepackage[utf8x]{inputenc}
\usepackage[T1]{fontenc}
\usepackage[box]{automultiplechoice}
\geometry{hmargin=1cm,headheight=2cm,headsep=.3cm,footskip=1cm,top=2.5cm,bottom=2cm}
%%% Procedure:
%%% 1. First edit this document according to the election details
%%% 2. Render this TeX document to PDF (e.g. with Texmaker)
%%% 3. Rotate all pages in the PDF document by 90 degrees
%%% 4. Print this document 4-on-1 to a new PDF (with Acrobat and FreePDF)
%%% 5. Print the ballot papers, then cut the A4 sheets into 4 ballots each
%%% EDIT THIS: Name the body that will be elected
\def\AMCbeginQuestion#1#2{\par\noindent For: {\bf
} #2\hspace*{1em}}
\begin{document}
%%% EDIT THIS: Specify the number of ballots that are to be printed
\onecopy{16}{
%%% Eliminate the default angled "DRAFT" water mark
%%%\AMCtext{draft}{}
%%% EDIT THIS: Adjust year, season and City as needed
%%% TODO: How prevent this from showing up in blue? We want black.
\AMCtext{message}{\textcolor{black}\small Org 2013\\ Meet }
%%% EDIT THIS: Set the election ballot number (like 2 or 14)
\noindent{\bf ELECTION BALLOT {\Large 1}}
\vspace{2ex}\hrule\vspace{2ex}
\noindent{\small\it Explanation: If you support a candidate, mark him/her with a cross, otherwise leave the box empty.}
\vspace{4ex}
\begin{questionmult}{ballot_1}\scoring{p=-100}
\\
\\
%%% EDIT THIS: State how many crosses the voter can place
Mark {\bf no more than {\LARGE 4}} of the following persons with a cross:\\
\begin{choices}[o]
%%% EDIT THIS: Provide the correct names and number of choices
\correctchoice{A. Jane Doe}
\correctchoice{B. Peter Smith}
\correctchoice{C. Pedro Fernandez Sanchez}
\correctchoice{D. Zsusza Szabo}
\correctchoice{E. Dieter Döner}
\correctchoice{F. Paulina Palauzov}
\wrongchoice{G. }\scoring{b=0,m=-200}
\wrongchoice{H. }\scoring{b=0,m=-200}
\end{choices}
\end{questionmult}
\vspace{14ex}
\noindent{\small\it This ballot will be scanned and automatically processed by computer. Place your crosses {\bf cleanly} from on corner of the box to the other! Do not otherwise write or draw on this paper.\\}
\noindent{\small\it \\To increase secrecy you are invited to randomly exchange ballot papers with other delegates prior to voting.}
}
\end{document}