Waterworth for Congress Home

Contribute

Posted On 12th March 2006 @ 18:15

Thank you for your support! If you would prefer to mail your contribution, please donwload a contribution form and mail it to the address below.

If you wish to mail in your contribution, please make a check payable to Waterworth for Congress and complete the following form:

Mail your check and contribution form to:

    Friends for Steve Waterworth
    P.O. Box 581
    Havana, IL 62644
Contribution Amount
Amount
Your Contact Information
Email Address
First Name
MI
Last Name
Address
City
State
Zip Code
   
Home Phone
  Work Phone
Employer Information
Occupation
Employer
Acknowledgements
Please read the following carefully before proceeding:

I agree to these terms and attest the following:
  • No corporate funds will be used for this contribution.

  • I am an American citizen or resident alien.

  • I will not exceed the maximum contribution limits of $2000 for the Primary Election and $2000 for the General Election per individual. The Primary and General are treated as separate elections.

  • This contribution is not tax deductible.

 
  

Article printed from Waterworth for Congress: http://www.waterworthforcongress.com

URL to article: http://www.waterworthforcongress.com/contribute/

URLs in this post:
[1] Waterworth for Congress Contribution form: http://www.waterworthforcongress.com/media/documents/ContributionForm.pdf
[2] Download a free copy of Adobe Acrobat: http://www.adobe.com/products/acrobat/readstep2.html

Click here to print.