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Make check payable to: Citizens for Kevin Bacon Mail to: Citizens for Kevin Bacon, 5325 Ponderosa Drive, Columbus, Ohio 43231 Name:__________________________________________ Employer/Occupation:_____________________________ Address:________________________________________ City, State, Zip:___________________________________ Phone & Email:________________________________ Contribution:__$25 __$50 __$100 __$250 __ $500 __ Other Please return this stub with your payment Thank you for your interest in contributing to Citizens for Bacon If you have a question about donating, please call David Smith, Campaign Manager at 440-225-0584 or Kevin Bacon at 614-890-1285
State law requires
political committees to report the name, mailing address, occupation and name of
employer for each individual whose contributions aggregate in excess of $100 in
a calendar year. Corporate checks are prohibited by law. This is not a
charitable contribution for federal income tax purposes.
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Paid for by Citizens for Kevin Bacon, Sue
Marshall, Treasurer,
5325 Ponderosa Drive,
Columbus, Ohio 43231 |