Donation Form

Take two, they're small :-)

You can fill out and send in one form, and give the other one to a friend. They'll thank you for it.

Also, please be aware that the maximum candidate contribution from an individual this year is $410.00

Please print or cut-n-paste the form at the bottom of this web page and send it to the address listed.

We'd like to sincerely thank you for your support. Together, we can make a difference.

---- Cut Here ----

MARY DECAMP FOR WARD 3

Promoting a sustainable vision for Tucson's future

Yes! I want to support Mary DeCamp's campaign for the Tucson City Council Ward 3 seat and have enclosed a check for:

___ $410 ___ $100 ___ $50 ____$20.00 ____ $10.00 ______ Other

and please include at least the following required information:

Name:____________________________________________________

Address:_________________________________________________

City, State, and Zip:____________________________________

Phone Number:____________________________________________

Occupation/Employer______________________________________ (required)

The Green Party sends out an infrequent email news digest that includes a variety of information. If you would like to receive this email, please give us your email address (write clearly).

E-mail address:__________________________________________

I would like to volunteer to help with this campaign. Please contact me. Y / N

The issue(s) that most concern me is/are (please circle):

Growth -- Water -- Neighborhood Quality -- Living Wage Jobs -- Transportation Issues -- Other ____________________