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HALL FOR HOUSE District 29
CAMPAIGN VOLUNTEER CONTRIBUTION INFORMATION

Please print this form and mail to:
Hall for NC House District 29
 315 East Chapel Hill Street, Suite 408, Durham, North Carolina 27701
I want to help on the Hall for NC House District 29 campaign. I can:
___ Host a fundraiser ___ Organize a social event in my house
___ Send letter/emails to my friends ___ Distribute materials in my community
___ Provide rides to the polls ___ Work at the polls on election day
___ Work the phone bank ___ Work at Fundraisers/Receptions
My Phone # _________________ Email/Fax ____________________________
____ You may use my name in endorsement ads.
*** Enclosed in my contribution of: $500 _____ $250 _____ $175 _____ $100 _____ other _____
made payable to Hall for House Dist. #29.
Name ____________________________________________________________
Address __________________________________________________________
City/State __________________________      Zip ____________
Phone ______________       Email _________________________

(for Hall for House campaign use exclusively)

Occupation _______________________    Employer ____________________________

State law requires political committees to report the name, address, jobtitle or profession and name of the employer’s specific field for each individual whose aggregate contribution is in excess of $100.00 in an election cycle. Contributions are not tax deductible.
Paid for by the Hall for NC House District 29 Committee – Gary Berman, Treasurer