COMMITTEE TO ELECT ANNE CARROLL JUDGE


Please complete information below and mail
with donation to:

601 Meadow Lane, Reading, PA 19605


IMPORTANT INFORMATION FOR CONTRIBUTORS:

There is no limit on the amount of a donation to a judicial campaign.

Contributions must be by personal check. No company, organization or corporate checks may be accepted.


Make checks payable to: Committee to Elect Anne Carroll Judge


CONTRIBUTOR DATA:

According to Pennsylvania’s Campaign Expense Reporting Law, all of the following information must be provided :
Name: ________________________________________________________
   
Mailing Address: ________________________________________________________


________________________________________________________
   
Occupation: ________________________________________________________
   
Employer (if any): ________________________________________________________
   
Principal Place of Bus.
 ________________________________________________________
(only if self-employed)  
   
Amount $ ________________________________________________________

 

NO CORPORATE CHECKS ALLOWED.


Thank you for your contribution.