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N AME:______________________________________________ ADDRESS:____________________________________________ CITY:__________________STATE:________ZIP:______________
Yes, I am able like to attend the October 19th fundraiser, enclosed is a check for $________ for the purchase of _____ tickets. No, I am unable to attend the fundraiser, but have enclosed a donation $________ to support Ken’s efforts to run for assembly.
Please kindly respond by October 15, 2010. Please make checks payable to Friends of Ken Blankenbush. Contributions to Friends of Ken Blankenbush are not tax deductable. Personal, PAC and Corporate are acceptable and will be deposited according to New York State Election Law. If you have questions, please call (315)778-5749.

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N AME:______________________________________________ ADDRESS:____________________________________________ CITY:__________________STATE:________ZIP:______________
Yes, I am able like to attend the October 19th fundraiser, enclosed is a check for $________ for the purchase of _____ tickets. No, I am unable to attend the fundraiser, but have enclosed a donation $________ to support Ken’s efforts to run for assembly.
Please kindly respond by October 15, 2010. Please make checks payable to Friends of Ken Blankenbush. Contributions to Friends of Ken Blankenbush are not tax deductable. Personal, PAC and Corporate are acceptable and will be deposited according to New York State Election Law. If you have questions, please call (315)778-5749.

T H A N K

Y O U

F O R

Y O U R

S U P P O R T

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