Make Checks Payable to: "Frank Taylor" For Congress
PLEASE PRINT OR TYPE DISCLOSURE FORM and Mail Form and Check to:
Frank Taylor For Congress
P. O. Box 24388
Edina, MN. 55424
Phone: (612) 886-9023
It is required by THE FEDERAL ELECTION COMMISSION that the following
information is submitted by all donors:
PLEASE PRINT OR TYPE DISCLOSURE FORM
Last Name:__________________________________
First Name:__________________________________
Address:____________________________________
City:________________________________________
State:______________Zip Code:_________________
(OPTIONAL)
Work:(_____)________-__________________________
Home:(______)_______-__________________________
E-Mail:____________________@___________________
Employer:_______________________________________
Occupation______________________________________
Amount Donated:__________________________________
(WE CANNOT ACCEPT CORPORATE CHECKS, ONLY PERSONAL)
$1,OOO.OO Maximum Contribution Per Individual
THANK YOU FOR YOUR CONTRIBUTION
STAND UP AND BE COUNTED! THE TIME FOR CHANGE IS HERE!
