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Contributions for the Bruce Hawley Campaign

Please fill out, print, and mail with a check or money order to:

       Committee to Elect Bruce Hawley
       P.O. Box 174
       Sparta, MI 49345

*Required

First Name* ________________________________________________ 

Last Name* ________________________________________________

Address Line 1* _____________________________________________

Address Line 2 ______________________________________________  

City*: ________________________   State*: _____    Zip*: ___________

Phone Number*  ________________________________

Email Address: _____________________________________________  

                  (We ask you this information to comply with election laws)


Occupation* ____________________________________ 

Employer* _____________________________________

Contribution Rules:

 I certify that my contribution meets the following criteria:
  • I am a United States citizen or a permanent resident alien.
  • This contribution will be from my own personal funds,for which I have a legal obligation to pay.
  • The funds are not from:
  1. The general treasury funds of corporations, labor organizations, or national banks.
  2. A government contractor.

Signature*: _________________________________________________


Please contact me by: Email: ____ Telephone: ____