For a Healthy Sonoma County


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Contributions

If you would like to contribute via check, please download this PDF donation form and mail it with your check: Donation Form

OR

You can contribute to Shirlee's campaign right here online with our secure Paypal web site payment system. You do not have to have a PayPal account to do this - you can use your credit card.

Thank you for your support!

The following statements must be true and accurate in order to contribute to this campaign:

• I am not a foreign national who lacks permanent residence in the United States.
• I am not a Federal government contractor.
• This contribution is made from my own funds, and not those of another.
• This contribution is not made from the funds of a corporation or labor organization.
• This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.
• I am at least eighteen years old.


I will contribute:


Use the drop down menu above to select an amount.

Please help us comply with state law by completing the following required information *. Your employer and occupation are required for contributions of $100 or more.

* First Name:

* Last Name:

* Email:

* Employer:

* Occupation:

Billing Information:

* Street Address:

Address Line 2:

* City:

* State:

* Zip:

Telephone:

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Click MAKE a Donation to be taken to PayPal's secure payment processing. If you are not a PayPal member -- simply click the USE YOUR CREDIT CARD continue link on the bottom left of the PayPal Screen.

Contributions are not tax deductible.








Download Shirlee's latest brochure/door hanger for lots of information (PDF)

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