Mail
Your Contribution to Dan’s Campaign
Please print this page, fill it out, and mail it with your check to
the address below.
| Name |
 |
| Address |
|
| City |
|
State |
|
| Zip |
|
Email |
|
|
| Home
Phone |
|
Work
Phone |
|
| Employer |
|
| Employer
City |
|
Employer State |
|
|
| Occupation |
|
|
| Amount of Contribution |
| __$1350
__ $100 |
__ $675
__$50 |
__ $250
__ $25 |
__ other ______________ |
State law requires us to use our best efforts to collect and report
the name and mailing address for all contributors, and the occupation
and name of employer of individuals who contribute $100 or more in a
calendar year.
Political donations are not tax deductible for Federal Income Tax purposes.
$675 is the maximum contribution allowed per individual election cycle
(the primary and general are separate cycles). The maximum for both
primary and general is $1,350.
Please make your check payable to “Friends of Dan Kristiansen”, and
mail this page with your check to:
Friends of Dan Kristiansen
PO Box 2007
Snohomish, WA 98291
Dan thanks you for your support.
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