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Personal Information
First Name Last Name
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State *Zip *
Phone Number *
Employer's City
Employer's State
Ticket Options
$30: Early bird 2017 Individual membership (ends Dec 14)   
$55: Early bird 2017 Family membership (ends Dec 14)   
Sponsor - $100   
Silver Sponsor - $250   
Gold Sponsor - $370   
Platinum Sponsor - $500   
District Sponsor - $1037   

Credit Card Information
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State election law compliance
  I confirm that all of the following statements are true and accurate:
  1. I am a United States citizen or a permanent resident alien.
  2. I am making this contribution from my own funds, and not those of another.
  3. I am making this contribution on my own credit card and not not with a card issued to anyone else.
  4. I am at least 18 years of age.

Paid for by 37th Legislative District Democrats

Contributions to 37th Legislative District Democrats are not tax deductible as charitable contributions for Federal Income Tax purposes. Washington State law requires us to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $100 in an election cycle.