Yes! I support Steve Glickman for Town Council

I would be willing to:

[ ] Display a house sign[ ] Host a house party
[ ] Walk a neighborhood[ ] Telephone voters
[ ] Make a donation[ ] Help out (call me)
[ ] Steve may use my name in support of his candidacy

Enclosed is my donation of:

[ ] $25[ ] $50[ ] $100[ ] $250[ ] $500[ ] $1000
[ ] Other $__________
Please make checks payable to Steve Glickman for Town Council

Name:__________________________________________________

Address:________________________________________________

City:_________________________ State:________ZIP:__________

The following information is requested pursuant to disclosure requirements:

Home Phone:____________________Work Phone:____________________

Occupation:____________________Employer:______________________
Contributions are not tax deductible
Thank you for you contribution

 
Steve Glickman for Town Council
304 Nicholson Avenue
Los Gatos, CA 95030
(408) 354-4506
steve@GlickmanForLG.org
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