HELP PHIL QUALIFY FOR DEMOCRACY VOUCHERS!

HELP PHIL QUALIFY FOR DEMOCRACY VOUCHERS!

City of Seattle residents only
Step 1: Resident information

For residents of the City of Seattle
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Step 2: Sign

Sign below (even if you're not sending $)
Democracy Voucher Signature

Powered by Jotform SignI am contributing my own funds to help this candidate qualify for the Democracy Voucher Program, which allows qualified candidates to receive public funds to help finance their campaign. Clear
(1) I am a United State Citizen or a Permanent Resident alien;

(2) I am making this contribution from my own funds, and not those of another;

(3) I am making this contribution on my own personal credit or debit card, and not with a corporate or business card; and

(4) I am at least 18 years of age, and

(5) I am contributing my own funds to help this candidate qualify for the Democracy Voucher Program, allowing them to receive public funds to help finance their campaign.
Paid for by Tavel for Seattle, PO Box 20664, Seattle, WA 98102
Should be Empty:

Step 1: Resident information