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 ___________________________
Mail or fax forms to:
Erickson for Congress
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