Ventura & Santa Barbara Counties, CA-24 |
|
U.S. Postal Contribution Form Your generous help is vital to our success. Simply print this page, fill it out and mail to: c/o Durkee & Associates 1212 South Victory Blvd Burbank CA 91502 Name:_____________________________________________________________________ Street Address:_____________________________________________________________ City:_____________________________________ State:_________ Zip:_______________ Phone:(_______)_____________________ E-mail:_________________________________ Occupation:_____________________________ Employer:__________________________ If Self-Employed, Name of Business:____________________________________________ |
|
Donation Amount: $500 $________ $1,000 $_______ Other $________ Donate by CHECK ________ Make Checks payable to: Jill Martinez For Congress 2008 or Donate by CREDIT or DEBIT CARD: Visa________ MC________ AMEX________ Discover________ Name on Card: __________________________________________________________ Card Number:____________________________________ Exp. Date:____/____/____ Signature:_______________________________________ Date:_________________ Authorized for by Jill Martinez for Congress Committee, FEC # C00416032 Contributions are not tax deductible. Federal Law permits individual to contribute $2,300 for the Primary Election and $2,300 for the General Election. Federal PAC's may contribute $5,000 for the Primary Election and $5,000 for the General Election. Corporate contributions are prohibited and contributions are not deductible for Federal Income Tax Purposes. Only U.S. Citizens or legal permanent residents may contribute for this Committee. |
~ All writing, material, graphics and photos, copyrighted, 2008 ~