Contribute to Jennifer
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Join us at upcoming fundraisers, make a contribution today and
extending invitations to your networks will help ensure the success of
our campaign to elect Dr. Jennifer Ong for State Assembly O.D.- turning
challenges into opportunities for all Californians!
Tell your family or friends to vote for Dr. Jennifer Ong O.D. for State
Assembly on Nov. 6th.
They must be registered to vote in:
San Lorenzo, Cherryland, Ashland, Fairview, Hayward, Castro Valley,
Sunol, Union City, North Fremont to Mowry exit
An interactive ma of the Ca Redistricting Commission’s 7/28/2011
certified assembly district can be found at:
We look forward to hearing from you and seeing you at future events.
Yes, I support Dr. Jennifer Ong for State Assembly District 20
• Please use my name as an endorser
• Enclosed is my/our contribution in the amount of:
_ $7,800 _ $3,900 _ $1,000 _ $250 _ Other: $_________
Each individual, union, PAC, and organization may contribute up to a
maximum of $3,900 per election. Small contributor committees may
contribute up to a maximum of $7,800 per election.
• I will attend Jennifer’s event on ____________ with ____ [# of] guest(s).
[PLEASE provide guest(s) name(s).]
• I am sorry that I cannot attend Jennifer’s event(s). You may count
on my support for her campaign, and I am pleased to enclose a
contribution to support her efforts!
PAYMENT: Secure Fax 510-864-0100
• Checks: Please make checks payable to “Dr. Jennifer Ong for Assembly 2012”
• Credit Cards: Please charge $________________ __ Visa __ MasterCard
Card Number Exp. Date Security Code
Name on Card (please print) Authorized Signature
State law requires us to obtain the following information (please print):
City ___________________________________________ State ____Zip _________________
Day Phone__________ Eve Phone_________ FAX __________ Email____________________
Committee ID Number (for PAC’s)__________________________________________________
Contributions are not tax-deductible for federal or state income tax purposes.
Paid for by Jennifer Ong for Assembly 2012 • ID #1337034
For more information regarding campaign fundraising activities,
please contact (510) 839-3100 or email@example.com.
PLEASE PRINT, COMPLETE THE FORM AND MAIL YOUR CONTRIBUTION TO:
Jennifer Ong for Assembly 2012
2244 Ione Street
Sacramento, CA 95864