Contribute by Mail

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 (check all that apply):

__ 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