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Pledge Form

Thank you for your support of this campaign. The Federal Elections Commission requires the information below to help ensure accountability by all political candidates. After you email your pledge, please print out a copy of the form below and mail it with your check or money order payable to:
Charles W. Sanders for Congress
Box 637
576 Robindale Drive
Waynesville, OH 45068

Your email address:

First name:
Middle initial:
Last name:

Street Address: Apartment number:

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State (ie., OH):
Zip code:

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Employer:

Phone (Home):
Phone (Work):

I would like to pledge: $


Corporate checks are prohibited by law. Contributions are not tax-deductible for Federal Income Tax purposes.



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