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Campaign Support Form

Your Name:
Your E-mail address:

Mail Address: (Optional)
City: State: ZIP Code:

Area Code: Phone: Ext:

I can help with the following:
Display a Bumper Sticker Hold Sign at an Intersection for Visibility
Send "Dear Friend" cards Host a "Meet the Candidate" event
Post a Sign on lawn Hold Signs at Polls on Election Day
Help with Events Other (Describe how in comments section below)

I can contribute the following:
$20 $50 $100 Other
Make check payable to CTE Joseph Mendonca and mail to:
Committee to Elect Joseph Mendonca
P.O. Box 1402
Lowel, MA 01853-1402

Comments:

Thank you for your support!

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