Lucille, I support what you are doing and want to help! I am sending a contribution to your campaign:

$1,500     $1,000    $750    $500    $250    $100    Other  $
Anaheim campaign finance laws limit contributions to $1,500 per individual, company or organization.  Spousal contributions are treated separately.
Contributions are not deductible for income tax purposes.

California campaign finance laws require the following information:

Fields with * are required information.

Select one... Mr. Mrs. Miss Ms. First Name*: Last Name*:

Occupation*:  
Employer*:   
If self employed, please enter the name of your business

Address*:
City*:         State*: Zip Code*:

Phone: () Select... Home Work Mobile Other Fax:      () Select... Home Fax Work Fax Other Fax
E-mail:

(Optional) I would also like to help Lucille's campaign by:

I will host a Candidate's Coffee Meeting at my home or office.
I will distribute campaign literature.
I will make phone calls for your campaign.
I will put up a campaign sign in my yard or at my office.
You can use my name as one of your supporters.

 Signature: ________________________________________