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Contributions

                                                                    Clark S. Colvin for Governor

                                                            www.ColvinForGovernor2010.com

                                                    Old Freedoms and New Opportunities

                                                                    Oregon … Let’s Roll !

  •  Print out this form and complete
  • Mail to:                                                                                
  •                                                                                                Colvin For  Governor
  •                                                                                                c/o   CSC Capita
  •                                                                                                62005 Fall Creek Loop
  •                                                                                                Bend, Oregon  97702

My Contribution Information…                               Date  _________________

First Name    *  
Middle Initial    *  
Last Name     *  
Address 1    *  
Address 2  
City / State    *  
Zip Code    *  
Phone  
Email    *  
Occupation    *  
Employer    *  
I am a US Citizen Y / N  
Contribution Amount    * $

*  Required by State                                                    Oregon Thanks You Very Much

Opportunities to Volunteer…                                 Oregon needs your help

      Yes     No      Maybe
Write letters to newspapers     [   ]      [   ]      [   ]
Help with fundraisers     [   ]      [   ]      [   ]
Walk precincts     [   ]      [   ]      [   ]
Make some phone calls     [   ]      [   ]      [   ]
Speak at meetings for Colvin     [   ]      [   ]      [   ]
Pray for Oregon     [   ]      [   ]      [   ]

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