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SHOW SUPPORT

Donations:

____  $10.00
____  $25.00
____ $100.00
____ $Other________

Yes, I want to help:

____ Hold a coffee
____ Walk in Parades
____ Leaflet my neighborhood
____ Make calls to my friends
____ Use my name in Ads
____ Sign in my yard
____ Other ____________________

Name:_______________________________________________________________

Address:_____________________________________________________________

____________________________________________________________________

Phone: _____________________  Email: __________________________________

PRINTER FRIENDLY VERSION (PDF)

Mail to: Richard Register for Legislature, PO Box 1611 , Fremont, NE 68026

If you are interested in becoming a campaign volunteer, please call Richard at 402-727-9248 or send an e-mail to richard@register08.com.