| Contributions: | |
| Please print and mail the form below.
You may click |
|
Bill Konopnicki-Fighting for Our Rural Community
Name (Print) _____________________Spouse_______________E-mail_____________
Address_____________________________________Phone number________________
City________________________________________ State_______Zip______________
To show my support for Bill Konopnicki for State Senate, I will:
| Write a Letter to the Editor | Help with fundraising | Help deliver yard signs |
| Display sign in home/business | Assist with telephone calls | Arrange speaking engagements |
| Host/arrange candidate receptions | Endorse Bill (see reverse) |
| Contribute: | $25 | $50 | $100 | $200 | $410 | $820 per couple |
Employer____________________________Occupation_______________________
Arizona Law limits contributions to $410 per person or regular PAC. Couples may contribute $820. Corporate contributions are prohibited. Contributions are not deductible as charitable contributions for federal tax purposes.
Please make checks payable to: Konopnicki 2010. Paid for by Konopnicki 2010.
Mail form to:
Konopnicki 2010
1491 Thatcher Blvd., ste. 107
Safford, AZ 85546
