CONTRIBUTE

Friends of Cliff Stearns
P.O. Box 308
Silver Springs, FL 34489
Phone: 352-236-2455
Fax: 352-236-3960

Please accept this contribution of $_________.

Name: ______________________________
Address: ______________________________
City/State/Zip ______________________________
Home Phone: ______________________________
Employer: ______________________________
Occupation: ______________________________
Email: ______________________________


Federal law requires that we report the name, mailing address, occupation, and name of employer for each individual whose total contributions exceed $200.00 in an election cycle. Federal law does not allow corporate checks, and contributions are not tax deductible for federal income tax purposes. Please make checks payable to Friends of Cliff Stearns, and mail to the address listed below.


Instruction: Please print the form, fill it out and mail it to:
Friends of Cliff Stearns
P. O. Box 308
Silver Springs, FL 34489

Paid for by Friends of Cliff Stearns