CAMPAIGN CONTRIBUTION FORM
Diaz-Slocum for School Board 2009
2160 Euclid Avenue
Redwood City, CA 94061
650.363.0253
FPPC # 1238894
YES! I support Maria Diaz-Slocum for Redwood City School Board.
To make a campaign contribution to Maria Diaz-Slocum and help her win her campaign for the Redwood City School Board, simply print this form, fill in the information requested and mail it to the address above. It's that simple - and you can be assured that your contribution will make a difference in this important election!
Thank you for your contribution and for completing this form. Please make your check payable to: “Diaz-Slocum for School Board 2009"
AMOUNT OF CONTRIBUTION: $____________ ($25, $50, $75, $100, other)
*Name: _____________________________________________
*Address: ____________________________________________
*City: _______________________ *State: ______ *Zip:__________
*Employer: ______________________________
*Occupation: _____________________________
Home Phone: ________________ Office or Mobile Phone: ________________
Email: __________________________________________________
*State election law requires the campaign to report the name, mailing address, occupation and employer for each individual whose contributions equals or exceeds $100. Contributions are not tax deductible.
Thank you!