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FRIENDS
OF
FRANK
GUINTA
DONOR
INFORMATION
Name(s):
_____________________________________________________________________________________
Preferred
Mailing
Address:
_________________________________________________________________
City:
______________________________________
State:
_____________Zip:
___________________________
Occupation:
_________________________________________Employer:
_____________________________
Office
Phone:
_______________________________
Cell
Phone:
____________________________________
E-mail
Address:
________________________________________@
___________________________________
ONLINE
CONTRIBUTIONS
CAN
BE
MADE
HERE:
https://teamguinta.com/donate
PLEASE
MAKE
PERSONAL
CHECKS
PAYABLE
TO
"FRIENDS
OF
FRANK
GUINTA"
PO
BOX
877,
MANCHESTER,
NH
03105
To
make
your
Friends
of
Frank
Guinta
payment
by
personal
credit
card,
please
complete
the
following
information:
Name
as
it
appears
on
card:
________________________________________________________________
Card
Number:
__________-
__________
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__________
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__________
Exp:
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CVC
Code
(located
on
back
of
card):
____________________
Amount:
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Signature:
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Contributions
to
Friends
of
Frank
Guinta
are
not
tax
deductible
as
charitable
contributions.
Contributions
from
corporations,
national
banks,
labor
organizations,
foreign
nationals
without
permanent
residence
status
(green
cards)
and
federal
government
contractors
are
prohibited.
Funds
received
in
response
to
this
solicitation
are
subject
to
federal
contribution
limits
and
prohibitions.
Federal
Election
Law
requires
the
campaign
to
use
its
best
efforts
to
obtain
and
report
the
name,
address,
occupation,
and
name
of
employer
for
each
individual
whose
contributions
aggregate
over
$200
in
an
election
cycle.
Not
printed
at
government
expense.
Paid for by Friends of Frank Guinta