Mike Causey for Insurance Commissioner

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Please help Mike Causey take his message to the voters of North Carolina by sending your donation today. ___ Mike, I support your campaign for election. Enclosed is my check. Amount enclosed:________________________________________________________________________________ Name:__________________________________________________________________________________________ (please legibly print your full name as it appears on your voter registration card; it is important that we be able to verify your voter registration) Address:________________________________________________________________________________________ City:______________________________________________________ State:__________Zip:___________________ Home Phone:_____________________________________ Work Phone:____________________________________ E-mail:_________________________________________ Fax:____________________________________________ Occupation:_____________________________________ Employer:_______________________________________
Mike, I will assist with your campaign by:
___ Distributing literature in my neighborhood _____ Distributing literature at community events _____ Putting up signs	_____ Sending an e-mail to my personal address book _____ Writing a letter to the editor _____ Other:_______________________________
Business contributions are not permitted. Please note that North Carolina law requires political committees to report the name, mailing address, job title or profession and employer for all aggregate contributions over $50 in any election. Contributions are not deductible as charitable contributions for federal income tax purposes. Please mail your contribution to: Mike Causey For Insurance Commissioner 503 N. Greene St. Greensboro, NC 27401 Thank you! Mike Causey, candidate for insurance commissioner