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Please return by mail to: Don Hooper for Congress
671 M-73 Iron River, MI. 49935 |
Required Information:
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.
Name_________________________________________________________
Residence Address_______________________________________________
City, State, Zip___________________________________________________
Telephone (H), (W), (Fax)___________________________________________
Occupation _____________________________________________________
Employer_______________________________________________________
Retired: [ ] Yes [ ] No
E-mail:__________________________________________________________
Amount enclosed: _________________________________________________
*Please make checks payable to: Don Hooper for Congress
Contributions made to Don Hooper for Congress are for the use in connection with the Republican Congressional primary and are subject to the prohibitions and limitations of the Federal Election Campaign Act. That law prohibits contributions from corporations, labor unions, minors and foreign nationals who are not admitted for permanent residence. All contributions must be made from personal funds and may not be reimbursed by any other person.
Thank you once again for your support!
Paid for by Don Hooper for Congress. Contributions to Don Hooper for Congress are not deductible for federal income tax purposes.