Christine Smith for President
15400 W. 64th Ave., E9-105
COMPLETE:
NAME (First, Middle, Last):______________________________________________________
ADDRESS:__________________________________________________________
CITY_________________________ STATE______ ZIP______________________
HOME PHONE_______________________________________________________
EMAIL_____________________________________________________________
YOUR EMPLOYER:___________________________________________________
YOUR OCCUPATION:________________________________________________
WORK PHONE______________________________________________________
Would you like us to mail you a bumper sticker for your vehicle(s)? ____________
Would you like to be placed on our campaign news email list? __________________
Enclosed is my check payable to CHRISTINE SMITH FOR PRESIDENT in the amount of $_____________
PLEASE SIGN BELOW:
I designate my contribution to CHRISTINE SMITH FOR PRESIDENT as folllows, the first $2,300 for the 2008
Libertarian nomination, and any additional amount that I contribute up to $2,300 for the 2008 general election. I make
this contribution with my personal funds and not with funds provided by any other person.
Signature_____________________________________________________________
(Second Signature, required for joint accounts)_____________________________________________________________
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle.An individual may not contribute more than a total of $2,300 per election to the committee (the Libertarian nomination and the 2008 general elections are separate elections). Couples may contribute $4,600 for the primary and general elections, respectively. Federal PACs may contribute $5,000 for each election.
Federal law prohibits contributions to the committee from the general treasury funds of a corporation, labor organizations or national banks (including corporate or other business entity credit cards), from any person contributing another's funds, from a Federal government contractor, or from a foreign national who lacks permanent resident status.
Contributions to Christine Smith for President are not tax deductible
PAID FOR BY CHRISTINE SMITH FOR PRESIDENT |