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First Name:   
Last Name:   
Employer: (required)
Occupation:  (required)
Phone Number: 
Amount: $  (limit $2300)

You must check each of the boxes below to meet federal contribution requirements:

This contribution is made from my own funds, and not from those of another.

This contribution is not made from general treasury fund of a labor organization or national bank.

I am not a Foreign National who lacks permanent resident status in the United States.

This contribution is made on a personal credit card or debit card for which I have a legal obligation to pay,  and is not made on the card of another.



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In lieu of a credit card contribution,

you may mail checks to:


P.O. Box 7822, Macon, GA 31209-7822


Please make checks payable to

Erickson for City Council.

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