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 Volunteer to join our winning campaign!  Call  718.292.0619 
 If you have any questions, comments, or suggestions, please feel free to contact me. 
  
Send Contributions to: 
The People's Committee for Change 607 East 139th Street Suite 2D  The Bronx, NY 10454 
E-mail to Volunteer, ENDORSE or share suggestions! 
parksforcouncil@yahoo.com 
Web Site 
www.parksforcouncil.20fr.com 
FILL OUT THIS FORM AND SEND IT IN WITH YOUR CONTRIBUTION!!!  OR SEND IN THE REQUESTED INFORMATION IN THIS FORMAT.
  Arline Parks for City Council Yes! I want to support Arline Parks
  Enclosed please find my contribution of  
  (Maximum $1,375).
  Please Make Checks/Money Orders Payable To: The People’s Committee for Change 607 East 139th Street Suite 2D The Bronx, NY 10454
  Name: 
  Home Address:
  City/State/Zip: 
  *To Comply with Campaign Finance Reporting Rules, please give the following information:
  Employer: 
 
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  Business Address: 
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  I understand that State Law requires that a contribution be in my name and be from my own funds.  I hereby affirm that this contribution is being made from my own personal funds, is not being reimbursed in any manner, and is not being made as a loan.
 
  Contributor’s Signature				
 
  	Date of Contribution
  parksforcouncil@yahoo.com Web Site www.parksforcouncil.20fr.com
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