Mail in Donation Form

Guys, I love your persistence. You can count on my help.  

Here is my contribution for $ ___________


Please supply the information below, it's really important to fill this out. And please make your check payable to "Voters Want More Choices".

 

Name:
Address:
Address 2:
City:
State:
Zip:
*Phone:
*Email Address:
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*Occupation:
*Employer: (if retired type "na")
*Employers Zip: (if retired type "na")

* Important to fill in these fields too

Voluntary donations to "Voters Want More Choices” are not tax-deductible. Voluntary donations to "Voters Want More Choices” are political donations that will be used to help in our fight to protect taxpayers.

Mail to:

Voters Want More Choices . PO Box 18250 . Spokane . WA . 99228 . PH: 425-493-9127 . FAX: 425-493-1027 www.VotersWantMoreChoices.com . jakatak@comcast.net