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If you wish to contribute to
Brett McGuire's campaign for the Georgia House Of Representatives,
District 117, please print this form, complete the required
information, and mail to:
The Committee to Elect
Brett McGuire
6150 Washington Rd.
Appling GA 30802
_________________________________________________________________________________________
This information required for all political contributions.
Please print clearly.
CONTRIBUTION AMOUNT (enclose check or money order only):
$________________
FIRST NAME:___________________________ LAST
NAME:____________________________________
ADDRESS:
_____________________________________________________________________________
CITY: _____________________________________ STATE: _____________ ZIP
CODE: _____________
OCCUPATION or PLACE OF EMPLOYMENT:
_______________________________________________
NOTE:
For contributions of less than $101.00, the information above will
not be listed on financial disclosure reports.
For contributions of $101.00 or more (up to $2,300.00), the
information above will be listed on financial disclosure reports to
the Georgia State Ethics Committee, filed by the Committee To Elect
Brett McGuire.
No person, corporation, political committee, or political party
shall make, and no candidate or campaign
committee shall receive from any such entity, contributions to any
candidate for the General Assembly or
public office other than state-wide elected office which in the
aggregate for an election cycle exceed:
* Two thousand three hundred dollars ($2,300.00) for a primary
election
* One thousand one hundred dollars ($1,100.00) for a primary run-off
election
* Two thousand three hundred dollars ($2,300.00) for a general
election
* One thousand one hundred dollars ($1,100.00) for a general run-off
election
Please make check or money order payable to: The Committee To
Elect Brett McGuire
Mail to: The Committee to Elect Brett McGuire ~ 6150 Washington Rd.
~ Appling GA 30802
_________________________________________________________________________________________
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