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I WANT TO SUPPORT BOB MYHR!!

Fill out the information below and click SEND.

Name (required)
 
Street Address
 
Island or City
 
State
 
Zip Code
 
Phone Number
 
Email address (required)
 
Yes, you may publish my name as a supporter.
 
Yes, you may send me information by email.
 
Yes, I would like to help with Bob's campaign.
 
Yes, I would like to make a contribution.
 
Contribution Amount**
 
Comments

If you are contributing, please indicate your occupation, and name and address of your employer.
 

** Please make checks payable to Committee to Re-Elect Bob Myhr, and send to PO Box 403, Lopez Island, WA 98261. Please include with your contribution your occupation, name & address of employer, or indicate retired or self-employed. This information is required for reporting of campaign contributions.