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HONOR PAC - RSVP and Payment Form

If you would like to pay by credit card you may do so using this form
If you would like to pay by check or be invoiced please indicate so
in the comments section. You may also, print this form and fax it privately to: 213-229-5352.
For further assistance, please call 213-220-5530.

RSVP FOR

 

There are no contribution limits
for individuals or companies.

Political contributions are not tax deductible.

Accounting services provided by:

Kinde Durkee Durkee & Associates
1212 S. Victory Blvd
Burbank, CA 91502
818/260-0669 x9101
818/260-0657 fax
www.durkeeandassociates.com

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Employer

 

Payment/Contribution Amount

 

Credit Card Information

 

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Expiration Date

 

Credit Card Number

 

Credit Card Type

 

Billing Address, If Different

 

City, State, Zip (If Different)

 

Phone

 

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Email

   

Comments

 

Help us build a strong voice for our community by helping elect candidates that are strong allies on our issues. May we count on you as a member of HONOR PAC?

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HONOR PAC - FPPC ID#1278587 – P.O. BOX 86512 Los Angeles, CA 90086 – Copyright © 2006