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A
l l e n H a i l e
for San Luis Obispo City Council
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Print
and fill out this form, and mail it and your check to:
Committee
to Elect Allen Haile to City Council
1022 Islay Street,
San Luis Obispo, CA 93401
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I
will make a financial contribution $______________________________________.
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_______________________________________
Name
of Contributor
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_______________________________________
Spouse's
Name ( if both contributing)
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_______________________________________
Street
Address
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_______________________________________
City,
State, Zip
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_______________________________________
Daytime
Phone
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_______________________________________
Evening
Phone
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following is required for contributions of $100 or more: |
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_______________________________________
Occupation
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_______________________________________
Employer
(if self employed, name of busniess)
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_______________________________________
Spouse's
Occupation ( if contributing)
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_______________________________________
Spouse's
Employer
(or name of busniess)
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Contributions
from a joint accountwill be attributed to the signer of the check.
If a couple wants to contribute, each must sign a seperate check
or both sign a single check from a joint account. Contributions
are not deductible for federal tax purposes.
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Please
make checks payable to Committee to Elect Allen Haile to City
Council
Wilda Rosene,
Treasurer (805) 544-1199
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