Yes, I want to help Mike by making a contribution of:

 

$4,200____$2,100____�� $1,000____$500____�� $250____�� $100____

$50 per _______Other _________

 

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer for individuals whose contributions exceed $200 for an election.

 

 

Name ____________________________________________________________

Address __________________________________________________________

City _____________________________ State ___________ Zip _____________

Occupation _______________________ Employer ________________________

Telephone (H) ____________________ Telephone (W) ____________________

Fax _____________________________ Email ___________________________

Please make checks payable to: Erickson for Congress

Mail or fax forms to:

Erickson for Congress

13800 SW Stampher RD

Lake Oswego, Oregon 97034

Fax: (503) 635-1043

 

 

Federal law limits contributions by individuals to $2,100 per person in the Primary election and $2100 in the General election and prohibits contributions by corporations, foreign nationals and government contractors.Contributions are not deductible for federal tax purposes.Oregon�s Political Tax Credit allows you to contribute up to $50 person or $100 per couple and receive a credit on your state income taxes.This is not a charitable donation