Yes, I would like to help elect Dr. Thomas Lee Abshier to the US Senate.
Enclosed is my campaign contribution of:
( )$2000 ( )$l000 ( )$500 ( )$l00 ( )$50 ( )$25 ( )$___________
FEDERAL LAW REQUIRES us to obtain and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 per election cycle.
Mailing Address: ______________________________________________
Check here if self-employed _____
The maximum an individual may contribute to the campaign is $2,000 ($4,000 per couple) per election. Corporations, foreign nationals without "green cards" and minors (under 18 years of age) are prohibited from contributing. Contributions from federal government contractors are prohibited. Contributions are not tax deductible for Federal Income Tax purposes.
The contribution to Dr. Abshier for U.S. Senate Committee, drawn on check # _______ of the account named as _____________________ represents personal funds and is not drawn on an account maintained by an incorporated entity.
Signature of Contributor _________________________________
Send Checks to:
Dr. Abshier for U.S. Senate Committee
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