Contribute to Mac's Campaign

Thank you for your kind donation: Simply complete and print the form below and mail your check.

Mr. or Ms.    
First Name    
Middle Initial     
Last Name       
Street Address     
City     
State & Zip       
Daytime Phone       Call here first
Evening Phone       Call here first
Mobile Phone       Call here first
Fax    
E-mail Address    

 


Campaigns are expensive any help you
can provide is very much appreciated.
Please complete and print this form and mail check to:

 Supporters of Thomas `Mac` Middleton, 
P.O. Box 2502
La Plata, Maryland 20646
Thank You!

Yes Mac, I want to help you continue fighting for us in Annapolis.

Enclosed is my check for:
$25       $50      $100    $200     $______


 

Paid for by Supporters of Mac Middleton.  Authority - Earle Knapp, Jr., Treasurer