ELECT

RICHARD C. IRVIN

M A Y O R O F A U R O R A

Mail Contribution Form to:

Irvin for Aurora
P.O. Box 4433
Aurora, Illinois 60507

Please make checks payable to: IRVIN FOR AURORA

Name:

Address:

City: State:________ Zip:________

Email Address:

Tel:                                                                       Fax:

Election Law Requires Us to Collect and Report the Following for Contributions over $150

Occupation:

Employer:

Enclosed is my check in the amount of: $__________________ .

IRVIN FOR AURORA
Authorized by In/in for Aurora. A copy of our report is available from the State Board of Elections, 1020 S. Spring Street Springfield, IL 62704. Contributions are not deductible as charitable contributions for federal income tax purposes.

Authorized by Irvin for Aurora. A copy of our report is available from the State Board of Elections, 1020 S. Spring Street, Springfield, IL 62704. Contributions are not deductible as charitable contributions for federal income tax purposes.