| Donate
by Mail |
 |
Please print this page, fill in ALL fields
and mail with your check to:
Committee to Re-Elect Harold Naughton, 200 High
Street, Clinton, MA 01510 |
| |
| 1.
Your Information |
|
|
| Name: |
______________________________________________________________________________ |
| Address: |
______________________________________________________________________________ |
| City: |
___________________________
State: ______ Zip: ___________ |
| Telephone: |
_____________________________________ |
| E-Mail
Address |
_____________________________________ |
| Occupation: |
_____________________________________ |
| Employer: |
_____________________________________ |
|
|
|
|
|
2.
Please confirm and sign below
|
|
|
Enclosed
is my check in the amount of $_________ made
payable to the Committee to Re-Elect Harold
Naughton. I confirm that the following
statements are true and accurate:
- I
am a United States
citizen or a permanent
resident alien.
- I
am making this
contribution from my own
funds, and not those of
another.
- I
am at least 18 years of
age.
|
| Your
signature:
__________________________________________________________________ |
|
|
|
Massachusetts
Campaign Finance Regulations
- Massachusetts
law requires that we request the
name and address of each
donor.
- For
contributions of $200 and above,
we are required to report your
occupation and employer
- Contributions
are limited to $500 per candidate
per calendar year ($200 for
registered lobbyists)
- Corporate
checks
cannot be accepted under state
law.
- Campaign
contributions are not tax
deductible.
|
|
