Donation by Mail

Please print this page out and mail to:

CTE Bernie Herpin
Jerry Biggs, CPA, Treasurer
PO Box 76521
Colorado Springs, CO 80970-6521

Please Print.  All information is required by State Campaign Finance laws.

Name: ____________________________________________________

Address: __________________________________________________

City: ______________________________ State: ______  ZIP: ________

Occupation: ________________________________________________

Employer: _________________________________________________

Phone: (______) _________________

E-mail: _____________________________________________

Amount:

□ $500    □ $200    □ $100    □ $50    □ $25    □ Other: $____________

Donations are not tax deductible.  Contributions by foreign nationals are prohibited. City Council races are not subject to donation limits.

THANK YOU FOR YOUR SUPPORT!!!

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Page last updated: 07/26/2007