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Ellen needs your help to get elected!

 

Please complete this form, print it out and mail it to

Ellen Taylor for City Council

Cindy Sullivan, Treasurer

1016 Emory Drive

Claremont, CA  91711

 

 

___ You may use my (our) name(s) in publicity.

Please list exactly how you want your name(s) to appear: __________________________________

 

I want to help elect Ellen. I am willing to

____  post a yard sign

____  walk my neighborhood with Ellen

____  circulate endorsement sheets

____  co-host a coffee to introduce Ellen

____  other

 

 

I believe the important issues in the campaign are: ____________________________________________________

____________________________________________________

____________________________________________________


_____   Enclosed is my donation for $_______________

(up to $250 per person as permitted by law)

(Please make checks out to "Ellen Taylor for City Council")

 

Claremont requires the following information for contributions over $50/per person:

 

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Employer and profession: ____________________________

________________________________________________