The Committee to Elect Ted Hess-Mahan

Contributions

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YES, I WANT TO CONTRIBUTE TO TED HESS-MAHAN'S CAMPAIGN!

To make a contribution, print this page and mail it to:

Committee to Elect Ted Hess-Mahan 
871 Watertown Street 
West Newton, MA 02465

Please make checks payable to the Committee To Elect Ted Hess-Mahan

Individuals may contribute up to $500 to a candidate during a calendar year by law. If you contribute $200 or more, please also provide your occupation and the name of your employer.

Enclosed is my contribution of:

[ ] $200      [ ] $100      [ ] $50       [ ] $25       [ ] Other $____________

Name:            _________________________________

Address:         _________________________________ 
                      Street & No. 

                     _________________________________ 
                             City                             State                  Zip Code

Phone:           _________________________________

E-mail:           _________________________________

Employer:       _________________________________

Occupation:    _________________________________

Privacy Policy:
Information collected on this site will be used only by the Committee to Elect Ted Hess-Mahan. The information you provide will not be sold or disclosed to anyone else without your express written permission, except as required by the campaign finance laws. By law, a candidate must file campaign finance reports disclosing the name and address of each contributor of more than $50 in a calendar year. If an individual gives $200 or more during a calendar year, the candidate must also request and disclose the contributor's occupation and employer.

If you have questions about this privacy policy please contact


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Website paid for by the Committee to Elect Ted Hess-Mahan
871 Watertown Street , West Newton , MA 02465
Norah M. Wylie, Chair  ♦   Kenneth H. Wolff, Treasurer
 Website materials, © 2005

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