Mike Parrish for Congress CD6 fundraiser

Parrish 4-3-16

1. To contribute online, visit http://www.ParrishForCongress.com and click on the “Donate” link. Checks payable to “Parrish for Congress” may be brought to the reception or mailed to:
Parrish for Congress
P.O. BOX 1722
West Chester, PA 19380

2. Contributions may be charged to your credit card. You may bring the card to the reception or fill in the form below and mail it to the above address:
Amount $______________ Visa MC DC AMEX
Credit Card Number____________________________ Expiration Date__________
Signature_____________________________________

When making a contribution, please enclose this completed response form:
Federal law requires political committees to use their best efforts to collect and report the name,
address, occupation, and employer of each contributor.
NAME:_________________________________________________________________
ADDRESS:______________________________________________________________
CITY, STATE, ZIP:______________________________________________________
EMPLOYER:__________________________OCCUPATION:___________________
WORK PHONE:_______________________HOME PHONE:___________________
CELL PHONE:________________________EMAIL ADDRESS:________________