Political Contributions
Committee to Re-Elect Sepi Richardson

Yes Sepi! You can count on my support!

You may use my name publicly as a supporter/endorser:

Print: ____________________________
Signature: ________________________

___ I will walk my neighborhood
___ I will make phone calls
___ I will display a lawn sign
___ I will host an event at my home.
___ I am pleased to make a contribution of:
___ $25 ___ $75 ___ $150 ___ $250 ___ Other: $______

The following is required by State Law:

Name:
_____________________________________________
Address:
_____________________________________________

City: ___________________ State: ____ Zip: ________

Home Phone: ( )__________ Work: ( )__________

Occupation:____________________________________

Employer/Firm:_________________________________

Business Address: ______________________________

_____________________________________________

Committee I.D. Number (for PACs): _________________

Make Checks Payable to:
Committee to Re-Elect Sepi Richardson (FPCC# 1238560)

Mail this to: P.O. Box 8, Brisbane, CA 94005
Or Fax to: (415) 467-6409
Or E-Mail to: sepirichardson@sbcglobal.net
www.sepirichardson.com

Election laws allow individuals, partnerships, corporations, unions and political action committees to contribute to a candidate. Contributions are not deductible on federal tax returns as charitable contributions. Paid for by committee to Re-Elect Sepi Richardson.