Our campaign has limited itself to only accepting single contributions of $100.00 or less per person and all checks must be personal checks, no company or business checks please.

Contributions are not tax deductible for federal or state income tax purposes

RE ELECT DENE BUSTICHI FOR SCOTTS VALLEY CITY COUNCIL

P.O. Box 66598 • Scotts Valley, CA 95067

ID #1299827 • E-MAIL: Bustichi4svcoucil.org

Chuck Maffia, Treasurer

Name                                                                     Spouse Name

Occupation/Position

Employer

Spouse Employer

Business Address                                                  Phone

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 You may use my name as a public endorsement signature

 I will walk my neighborhood

 I will make telephone calls

 I will display a sign

 I will help by