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Your
contribution to our people-powered campaign can also
make a real difference!
Please print and complete this form, and mail it along
with your check to:
Sue Gunzburger Campaign
803 N. Southlake Drive
Hollywood, Florida 33019
Sue, you can count on me. Enclosed is my contribution
of $______.
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Occupation:
Employer:
Thank
you!
Note: Contributions are not tax
deductible. We may not deposit your check without your
name and address. We also require your occupation if
your total contributions to date are $100 or more. We
may not accept cash, cashiers checks or money orders
for more than $50 from any contributor. You may contribute
up to $500, and spouses and domestic partners may each
contribute $500, even if the joint accounts are controlled
by the same person. Separate legal entities (businesses
and their owners, partnerships with same general partner,
parent companies and subsidiaries, etc.) may each contribute
$500.
Sue Gunzburger Campaign,
803 N. Southlake Drive, Hollywood, Florida 33019 | 954.923.0803
Contact our campaign. |