Re-Elect Sue Greenwald
for Davis City Council 2012.

Contributions limited to $100/person over the age of 18 years old.

SueGreenwald.Org
SECURE SERVER CONTRIBUTION FORM

blue color = required fields
Contact/Billing Information
Amount of Donation to Re-Elect Sue Greenwald Campaign Fund:
(Maximum Donations is $100/ person or $200/couple)
First Name with Initial(s):
Last Name:
(Name with Initials if present as it appears on card)
Your Employer: 
Please put "Retired" or "Student" if you qualify. If Self Employed, please give name of your company.
Your Occupation: 
Please enter retired again if "Retired" or Institute of learning you are attending, if "Student"
Billing Street Address:

(For credit card statements)
City:  
State:
Zip Code:
Home Street Address:

(If Different from Credit Card Billing Address)
Home City:  
Home State:
Home Zip Code:
Contact Phone:  
FAX:  
e-mail Address:

(Will not be shared with 3rd parties)
Credit Card Number:
                              
Credit Card Expiration Date:  
3 Digit Security Number:
(On back of card in security signature strip)

Click below to submit your offer of
financial support to re-elect Sue Greenwald:

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Please consider volunteering to show your support for Sue. There are many ways to do this. Click on the Volunteer link above.

For further information:
Please call Sue Greenwald (756-5831), Philip King
or G. Richard Yamagata (753-9750)
suegreen@dcn.davis.ca.us, yamagata@virtual-markets.net

Philip King treasurer 1520 East Covell Blvd., PMB #345, Davis, CA. 95616

To mail in your financial contribution:
Treasurer: Philip King
1520 East Covell Blvd., PMB #345
Davis, CA 95616