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You have two easy options for contributing to Carol Moser’s campaign. You can either fill out the short form below, print it, and mail it in, or you can submit your contribution using the PayPal button located at the bottom of this page.
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Form Option Only - When you are finished filling in ALL the form fields, simply press the “Print This Page” button located below. After printing, please sign the form, include your check, and send to:
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PayPal Option - Click here.
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Friends of Carol Moser
PO Box 2108
Richland, WA 99352
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Checks Made Payable To:
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Friends of Carol Moser
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Your Contact Information:
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Name
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Address
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City
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State
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Zip
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Phone
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Email
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Employer
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Occupation
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Please Sign Below:
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Check Amount
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Your Signature
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By electronically signing this form, you designate that you are making this contribution with your own personal funds and not with any funds provided by any other person. In addition, you understand that your contribution is not tax-deductible for federal income tax purposes.
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