Donate by Mail Form - San Taylor

Donate by Mail Form - San Taylor

Tift County School Board - District 6
Donor Full Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Phone Number: (Optional)
Please enter a valid phone number.Format: (000) 000-0000.
Employer:
Occupation:
Contribution Amount:
Payment Method:
Check Number:
Make check payable to: Committee to Elect San Taylor

Mail to: P.O. Box 2022

Tifton, GA 31793
Legal Compliance Statement

By signing below, I certify that:
- I am making this contribution with my own personal funds
- I am not a foreign national
- This contribution is not made from the treasury of a corporation, labor organization, or national bank
- I am at least 18 years of age
Date

MonthDayYear
Date
Signature
Campaign Use Only:

Date Received: ________________

Amount Received: $_____________

Received by: _________________________

Check Number: _____________
Should be Empty: