I would like to help by:
| __ Volunteer in the campaign | __Host a small gathering at my home | __Display a yard sign | __ Endorse the campaign | | __ Make telephone calls | __ Post a sign at my home or business | __ Help raise funds | __ Contribute directly |
The following information is required by Law
(please print clearly)
Name _________________________________________________________
Home Address ____________________City___________State___Zip_______
Occupation _____________________________________________________
Employer (If self, name of business) __________________________________
Address of business _______________City___________State___Zip_______
Home Phone _____________________Business Phone _________________
E-mail or Fax ____________________________________________________
| Here is by contribution for: | ___ $250 | ___ $100 | ___ $50 | | Other amount $______ | ___ $20 | ___ $10 | ___ $5 |
Please make checks payable to: Carmen Miranda for Escondido City Council
Please send form to: 822 Lanewood place, Escondido, CA 92026
City law limits campaign contribution to $250 per person. Contributions are not deductible for income tax purposes.
Please print entire web page and thank you for your support!
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