Yes, Vince, I would like to support your campaign!
________ I WILL attend the May 31st event
_______ I am unable to attend the May 31st event.
______ I have provided a credit or bank card contribution online through Slatecard.com in the amount of $________ .
Or
_______Enclosed is my personal check or money order (no cash please) contribution of :....
____ $4600* ____ $2300 ____ $1000
____ $ 500 ____ $ 250 ____ $ Other
* $2300 Primary & $2300 General. Please write Primary/General in the memo line of your check.
For more information, please call: 908-705-1458
Please make your check payable to: "Vince Micco for Congress" and mail to:
Federal law requires us to use our best efforts to collect and report the name, mailing address, employer and occupation of individuals who contribute $200 (or more) in an election cycle.
Required fields:
Name: ______________________________________________________
Home Address: _______________________________________________
City, State Zip: ________________________________________________
Occupation: __________________________________________________
Employer: ____________________________________________________
Optional fields:
Home Phone: _____________________ Fax: _______________________
Cell Phone: ___________________________________________________
Home E-Mail: _________________________________________________
Work Address: ________________________________________________
Work Phone: ______________________ Fax: _______________________
Work E-Mail: __________________________________________________
Please provide the following information if your contribution check is drawn on a joint account with your spouse:
Contribution check #_______ is drawn on a joint account with my spouse. $_______ constitutes the amount of my contribution and $_______ constitutes the amount of my spouse’s contribution.
Contributor Signature: __________________________
Spouse’s Signature: __________________________
Personal or Federal PAC funds only, please.
Paid for by Micco for Congress Campaign Committee, Jennifer D'Autrechy Treasurer. One Orient Way Suite F-171; Rutherford, NJ 07070-2524.
Campaign Contributions to Micco for Congress are not tax deductible. Maximum contribution per individual, per election is $2,300. Multi-candidate PACs may contribute $5,000 per election. Partnerships and limited liability companies (LLCs) may contribute the same amount as individuals ($2,300) so long as they have elected to be treated as a partnership for federal income tax purposes and no portion of the contribution is attributed to a corporation or foreign national. Please include a letter attributing the contribution amount to the individual partners.Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of the employer of individuals whose contributions exceed $200 in any election cycle. Corporate checks cannot be accepted. Contributions from corporations, labor unions and foreign nationals are prohibited.
Paid for by Vince Micco for Congress
Jennifer D’Autrechy, Treasurer
Not paid for at Government Expense