Yes! I want to help
Elect Doris Brevoort for city council At Large

I will:

or

If you would like to contribute click here:

I will:

1. Doorbell voters
2. Make phone calls
3. Put up a yard sign
4. Host a coffee hour
5. Help with fundraising
6. Write a letter to the editor (date_____________)
7. Other _________________________________________________

Enclosed is my contribution of:

• $25      (will buy a dozen yard signs)
• $50      (will pay for postage to reach voters)
• $100   
• $300   
• Other $ _______________________

Please print Name ___________________________________________________ Signature ________________________________________________                    May we use your name on a list of endorsers? Please check if yes! ___     Address _________________________________________________ City ________________ Zip _________ Email __________________ Day phone ________________ Evening phone __________________ *Occupation ______________________________________________ *Employer _______________________________________________ *Employer address ________________________________________ *Required for contributions of $100 or more under Washington State Public Disclosure Commission rules.

Paid for by: Committee to Elect Doris Brevoort to City Council 2009 2007114 So. 5th St. Mount Vernon, WA 98274



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