Mail Your Contribution to Andrea's Campaign
Print this page, fill it out, and mail it with your check to the address below.
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| Name____________________________________________________________ |
| Address__________________________________________________________ |
| City_________________________________ State ______________ |
| Zip__________________ Email_____________________________________ |
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Home Phone ____________________ Work Phone______________ |
| Employer__________________________________________________________ |
| Emp City__________________________ Emp State _____________ |
| Occupation________________________________________________________ |
| Amount of Contribution |
_____ $1000
_____ $100 |
_____ $500
_____ $50 |
_____ $250
_____ $25 |
_____ other______________
Contributions are not tax deductible.
Employer and occupation information is required by the Public Disclosure Commission.
Make your check payable to:
Andrea Darvas For Superior Court
and mail this page with your check to:
Andrea Darvas For Superior Court Judge Committee
PMB #318, 126 SW 148th St., #C100
Seattle, Washington 98166-1984
Thank you for your support.
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