WRITE-IN VAL LERCH
for City Council 2010
Committee ID # 1319487
The maximum contribution for individuals, companies, and regular PAC's is $350.  Husbands and wives may each contribute individually.  Contributions from an individual and a company controlled by that individual will be aggregated, the aggregated amount may not exceed $350. Contributions to a Candidate's account are not considered charitable contributions for income tax purposes.

Please make checks payable to: Write-in Val Lerch and mail to:

Write-in Val Lerch
5951 Jaymills Avenue
Long Beach, CA 90805
Committee ID # 1319487

The following information must be provided for any contribution over $99.00.

PLEASE ACCEPT MY CONTRIBUTION OF:
























THANK YOU
Donations may be sent by check or money order.

REMEMBER, FILL IN THE RECTANGLE NEXT TO WRITE-IN
I will help Val by: (Check Boxes)
Name:
Address:
City:
State:
.Zip Code:
Occupation:
Employer:
Phone #:
Email:
Serve on Committee
Walk
Phone
Host a Fund Raiser/Chat
Display a Yard Sign
$350
$300
$250
$200
$150
$100
Other: