Contribution Form

Thank you for your contribution. Please print this form out and mail it with your contribution to:

Children's Campaign Fund
P.O. Box 19777
Seattle, WA 98109

 

Please accept my contribution for:

 

___ $1000

___ $500

___ $250

___ $100

___ $50

___ $25

___ Other

 

  

 

 

 

 

 

 

Name:

________________________________________________________________

Address:

________________________________________________________________

City:

____________________

State:

________

Zip:

_________

Phone:

____________________

Email:

_______________________________

 

  

 

 

Your email address helps us keep costs down and maximize contributions for candidates. Thank you.

 

Please include the following information required by the Public Disclosure Commission.

Occupation:

________________________________________________________________

City (of Employment)

________________________________________________________________

Employer

________________________________________________________________
 

Contributions to the Children's Campaign Fund are not tax deductible.