ELECT

RICHARD C. IRVIN

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

Mail Contribution Form to:

Irvin for Aurora

41 W. New York St.

Aurora, Illinois 60506

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

Tel 630.897.4405 | Fax 630.897.4409 | info@oneaurora.com

oneaurora.com

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.