Contact us

Donate to Carol’s Campaign

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 electronically submit your contribution using the PayPal button located below this paragraph.

PayPal

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:

Friends of Carol Moser
PO Box 2108
Richland, WA 99352

Checks Made Payable To:
Friends of Carol Moser

Your Contact Information:

Name:

Address:

City: State: ZIP:

Phone:

E-mail:

Employer:

Occupation:

Please Sign Below:

Check Amount:

Your Signature:

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.