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Fundraising Confirmation and Donation Form

   

Please use this web page to confirm your attendance to one of our Fundraising events. You can make a donation after you have completed this short form below:

   
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The Committee To Elect Thomas Tsilionis & Peter Smith
Nick Lordi - Treasurer | Rose Brady - Campaign Manager

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Event:

 

Seats:

(Amount of people attending event)

 
If you are not attending this event - Click Here to make a straight donation.
   

Donation:

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(Recommended Minimum Donation $75 per seat)

          

Notification:

Notify Thomas Tsilionis     Notify Peter Smith

   

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Over $200: To comply with Federal law, we must use best efforts to obtain, maintain, and submit the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 per calendar year.

         

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(If donation is over $200.00)

Occupation:

(If donation is over $200.00)

           

Legal:

 

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Campaign Team

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Thomas Tsilionis

       

Peter Smith

 

Nick Lordi

Treasurer

 

Rose Brady

Campaign Manager

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