Back to Home

 

 

   

We need your signature in order to use your name as an endorser! Also, your financial and volunteer support would be much appreciated. Please print out and mail this form to:

Committee to Elect Dick Doubrava
PMB 330, 849 Almar Ave.
Santa Cruz, CA 95060

Dick, add my name to your list of supporters!

Signature _____________________________________

Name: ________________________________________

Address: ________________________________________

 City: _____________________ State ____

ZIP _________

Phone: ______________________

My contribution is enclosed:

___ $25   ___ $50    ___ $100   ___ $250   Other $ ___

___ I need a yard sign

I can volunteer my time for:

___ Phoning ____ Mailings  ___ Walking my neighborhood

___ Posting yard signs    ___ Office Work  ____ Data Entry

___Fundraising   ___ Hosting an event  ___ Other



  
Committee to Elect Dick Doubrava
PMB 330, 849 Almar Ave.
Santa Cruz, CA 95060
Jennifer Bragar, Treasurer
239-0936
campaign2000sc@hotmail.com