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Republican
­
Precinct 3, Place 3



Please
make
checks
payable
to
Judge
Steve
Seider
Campaign.
Return
with
this


fully
completed
form
to:
Judge
Steve
Seider
Campaign,
c/o
Randall
McCleskey‐



Treasurer,
4925
Greenville
Ave.,
Suite
900,
Dallas,
Texas
75206



Required
Information
–
In
compliance
with
the
voluntary
limits
of
the
Judicial




Campaign
Fairness
Act,
the
law
requires
that
we
ask
the
following:



Name:__________________________________________________________________



PAC
Name
(if
applicable)_____________________________________________



Address:_______________________________________________________________



City:___________________________State:______Zip:________________________



Business
Telephone:_________________________________________________



Home
Telephone:____________________________________________________



Email:_________________________________________________________________



Occupation:__________________________________________________________



Employer:____________________________________________________________



Is
this
a
law
firm?
 Yes








 No





















Spouse’s
Name:
_______________________________________________





Spouse’s
Occupation:_________________________________________




Spouse’s
Employer:___________________________________________





Is
this
a
law
firm?
 Yes







 No




















Political
advertising
paid
by
Judge
Steve
Seider
Campaign
in
compliance
with
the
voluntary
limits
of
the

Judicial
Campaign
Fairness
Act.