Please PRINT THIS PAGE, fill in ALL fields, send regular postage (not via express or certified mail) along with your check to:
Elect Rob Handy County Commissioner
PoBOX 41449
Eugene, OR 97404
| Name | _____________________________________________________________ |
| Address | _____________________________________________________________ |
| City | ________________________________ State _______ Zip ___________ |
| Phone | ________________________________ |
| _____________________________________________________________ | |
| Employer | _____________________________________________________________ |
| Employer Address (please include city, state and zipcode) | _____________________________________________________________ |
| Occupation | _____________________________________________________________ |
Enclosed is a check for $___________ made payable to Elect Rob Handy County Commissioner
I am making this contribution with my own personal funds and not with funds provided by any other person.
| Your Signature | _____________________________________________________ |
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Second Signature (for joint accounts) |
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Contribution Code: RobHandy.com
Oregon election law requires Elect Rob Handy County Commissioner to use our best efforts to collect and report the name, mailing address, occupation, and name of employer for each individual whose contributions aggregate in excess of $100 in an election cycle. Your contribution is tax-deductible for Oregon income tax purposes upto $50.00.