Customize: 6.75 Remit Envelope - Potter's Printing Inc

617-547-5700
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UNION BUG PLACEMENT:	NONE
Upper Flap Heading:	YES! I would like to help.Up to 3 lines of text HERE ADD YOUR TEXT HERE OR DELETE FOR NONE. TEXT WILL AUTO CHANGE SIZE BETWEEN 7pt & 10pt TO FIT YOUR TEXT.
Contributor INFO:	NAME ____________________________________________________________________ Address ___________________________________________________________________ City ________________________________ST__________ZIP _______________________ Phone __________________________Email _____________________________________
CheckBox:
$AMT-1:
$AMT-2:
$AMT-3:
$AMT-4:
$AMT-5:
$AMT_Other:
Enclosed:	I have enclosed a contribution of
Payable line:	Please make checks payable to COMMITTEE HERE
Contributions Over:	*State law requires the following information for contributions of $200 or more per calendar year. Contributions are limited to $1000 perperson per calendar year. Cash contributions are limited to $50 per person per calendar year.
Occupation Employer Info:	* Occupation___________________________ *Employer ____________________________
Paid For Info:	Paid for by the Committee INFO HERE


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