Glenn Anderson Campaign Contribution Form

The hard truth is that campaigns spend a lot of money to get their message out,
and to get voters to the polls on election day.

Your $10, $25, $50, $100, makes all the difference.

The maximum total-campaign contribution limit (2008 primary and general election combined) per individual or
business is $1,600.00  (for example, a husband, wife and their business can legally contribute $4,800.00)

Please complete this form ("on line" for best legibility) and then print out the page
(using the button below or your browser's print button).
Mail the completed form along with your check to:

Citizens for Glenn Anderson
PO Box 1682
Issaquah, WA 98027

 First Name*      Last Name*
 [List me as an endorsement]
Street Address*  
City*  Zip*    Phone*
*Above fields required for contributions exceeding $25
 Business/Organization Name/Employer*
 [List Business/Organization as an endorsement]
Business/Employer City*    
 Employer Zip*
Occupation*
*Above fields required for contributions exceding $100
 Contribution Amount*

 *Fields required by the Washington State Public Disclosure Commission 

Thank You for your support!- Glenn