Please make a contribution
               to help Councilman Dave Pearson

 

First Name:
Last Name:
Employer: (required by law)
Occupation: (required by law)
Address
City State Zip
Contact Phone:
E-mail
Amount: $
Contributions are limited to $780 for couples (joint account), $390 for individuals.
No corporate checks can be accepted. Contributions are not tax-deductible.



Complete this form, print and mail your check to:

Friends of Dave Pearson
P.O. Box 357
Peoria, AZ 85380-0357

 

Paid for by the Friends of Dave Pearson