Yes! I want to help re-elect Rodger Koopman!
My contribution for the amount checked below is enclosed |
| _____$2000 |
_____$500 |
_____$100 |
_____$other |
| _____$1000 |
_____$250 |
_____$50 |
_____$25 |
|
| Name |
___________________________________________________ |
| Home
Address |
___________________________________________________ |
| City
/ State / Zip |
___________________________________________________ |
| Home
Phone |
___________________________________________________ |
| Mobile
Phone |
___________________________________________________ |
|
Email |
___________________________________________________ |
| Occupation |
___________________________________________________ |
| Employer |
___________________________________________________ |
|
Yes,
I support you! I would also like to help by: |
| _____
Host event |
_____
Letter to the Editor |
| _____
Help with event |
_____
Put a sign in my yard |
| _____
Help at polls on Election Day |
_____
Phone potential voters |
| _____
Endorse Rodger |
_____
Other |
| _____
Knock on doors |
|
|
Please
make your personal check (no business checks permitted by law)
payable to:
Citizens for Rodger Koopman
P.O. Box 6236
Raleigh, NC 27628
|
NC
law requires political committees to report the name, mailing
address, job title or profession, and name of the employer
for individuals whose contributions aggregate is in excess
of $50 in an election cycle. Contributions are not tax deductible.
North Carolina law allows any individual or registered political
action committee (PAC) to contribute up to $4,000 per election
cycle for any statewide office. Corporate contributions
and contributions from registered NC lobbyists are prohibited.
Donations are not tax deductible.
|
|
Citizens for Rodger Koopman |
|
P.O. Box 6236 Raleigh, NC 27628 |
(919) 809-6063 |
| |
Paid for by Citizens for Rodger Koopman |
|
|
