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Name |
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Address |
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Address 2 |
____________________________________________________ |
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City/Town |
____________________________________________________ |
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Phone |
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Email |
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Email confirm |
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Preferred
method on contact: __ Phone __ Email |
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No corporate checks please.
Occupation and employer are required when donating
$200 or more in
a calendar year.
Occupation
_____________________________________________
Employer
_____________________________________________
Contributions are limited to $500 per individual per
year.
Please make checks payable to: CTE Christine E.
Canavan
and mail to:
Committee to Re-elect Christine E. Canavan
29 Mystic
Street
Brockton, MA 02302 |
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THANK YOU FOR
YOUR CONTINUED
SUPPORT &
FRIENDSHIP!
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