Richard Marcus Democratic Candidate for House District 89
Contribution Form

Name:____________________________

Address:__________________________

City/State:________________________ Zip Code:_______________

Contribution Amount Enclosed:________________________

Employer and occupation*_______________________________________________________

*(Required information by MT. Political Practices Dept. for contributions over $35.00)

 

Check #________________

 

Do Not Write Below Line - Treasurer Use Only.  Return to bottom portion of this form only if you would like a receipt.

---------------------------------------------------------------------------------------------

Receipt for campaign contribution for Richard Marcus - House District 89
This will be returned to you.  Contributions to a Candidate are not Tax deductible.

Name:___________________________Address:__________________________

City/State:______________________________Zip Code:___________________

Contribution Amount:___________________________ Check #______________

signed received by treasurer/deputy treasurer________________________
for campaign contribution for:

Richard Marcus Democratic Candidate for House District 89
Contribution Form

Richard Marcus - House District 89 - 4652 Watt Lane - Stevensville, MT 59870

Mail to:
Richard Marcus
Candidate for House District 89 
4652 Watt Lane
Stevensville, MT 59870

Back to Home Page