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Mike Alonso for DCCC 2012 Campaign Remit

Mike Alonso for DCCC 2012 Campaign Remit

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Published by: Lupe Arreola on Apr 25, 2012
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Mike Alonso for Democratic County Central Committee 2012

“Community First!”
Yes! I would like to volunteer to: ☐ Voter Outreach ☐ Organize a House Party/Fundraiser ☐ _________________________

Yes! I would like to contribute: ☐ $10 ☐ $25 ☐ $50 ☐ $100 ☐ $250 ☐ ______

Please make checks payable and mail to: Mike Alonso for Democratic County Central Committee 2012 1392 39th Avenue San Francisco, CA 94122 Name: Address: City, State Zip Code: Email: Home Phone: Cell Phone:

Federal law requires us to obtain and report your occupation and the name of your employer. If you are not employed, please enter None. If you are self-employed, please state

Occupation: Employer:

I certify that I am at least 18 years old and am making this contribution on a personal credit or debit card with my own personal funds those of another person or entity ‐ and that I meet the eligibility requirements set forth below:

 

I am not a foreign national. I am not a federal contractor.

Contributions are not tax deductible as charitable contributions for federal income tax purposes. Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 per election cycle. Contributions by corporations, foreign nationals (non-green card holders), labor unions, federal government contractors, and minors under the age of 18 are prohibited.

To contribute by credit card, please donate online at mikealonso4dccc.blogspot.com/

Paid for by the Committee to Elect Mike Alonso for Democratic County Central Committee 2012 FPPC No. 1346203 1392 39th Avenue San Francisco, CA 94122 This document is computer generated.

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