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To contribute to Lou Correa
online via e-tribute, click
here.
If you would like to make a contribution to Lou Correa
for State Senate, please complete this form and mail it
to the address provided.
For a printable version, click
here
(MS Word).
Yes!
I want to support Lou
Correa for State Senate 2010
34th SD –
Primary 2010
FPPC I.D.
#
1293209
P.O. Box 1107
Anaheim, CA
92815-1107
Ph: 714 612-6893
loucorrea@roadrunner.com
www.loucorrea.com
Enclosed is my contribution of:
o $3,600
o
$2,500 o
$1,000
o
$500
o
$250
o
Other_______
o I have enclosed
my check made payable to "Lou Correa for State Senate
2010."
I want to help by:
(check all that apply)
o Endorsing Lou
Correa. You
may use my name as a supporter.
o Displaying a yard
sign at my home.
o Hosting a
fundraiser at my home or business.
o Walking a
neighborhood precinct.
o Making phone
calls.
o Volunteering at
the campaign office.
o
Other______________________________________________
Information Below Required or Your Contribution Cannot
Be Accepted:
Name:
Organization:
Address:
City/State/Zip:
Phone:
Fax:
Employer
(individuals):
Occupation
FPPC ID
# (California Committees):
Email(s):
_______
The
California Political Reform Act (Proposition 34) places
limits on contributions to candidates for state office
and imposes certain prohibitions.
This request does not seek a contribution in
excess of applicable limits or from prohibited sources.
An individual, union, PAC, and other entities may
contribute a maximum of $3,600 to the committee per
election, primary and general.
A registered Small Contributor Committee may
contribute a maximum of $7,200 per election.
Contributions are not deductible for tax
purposes.
Produced in-house by laser printer.
Paid for and authorized by Lou Correa for State Senate
2010, ID 1293209.
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