Affidavit of Support For Judge Marcus DeLarge

I {name} hereby support the candidacy of Judge Marcus DeLarge for Criminal District Court, Orleans Parish, Louisiana. I agree to serve on the Campaign Committee and grant permission for the use of my name, likeness, and image in campaign materials and communications, including but not limited to electronic media, social media, broadcast media, print media, campaign literature, and other lawful campaign activities. I am ready to join the team and support the campaign.
I WOULD LIKE TO ASSIST IN THE FOLLOWING WAYS:

Please check all that apply!
Ways I Can Help — Check All That Apply
Other (please specify)
GENERAL INFORMATION

Please complete in full.
Full Name

First NameLast Name
Street Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
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SIGNATURE
My signature affirms that the information provided above is true and correct and that I voluntarily support the candidacy of Judge Marcus DeLarge.
Signature
Date

MonthDayYear
Date
PAID FOR AND AUTHORIZED BY THE COMMITTEE TO REELECT JUDGE MARCUS DELARGE.
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GENERAL INFORMATION