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Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle. Federal law also requires we record the the contributor's name and address for contributions exceeding $50. Thus you may use the button above to donate to the campaign only if
- your donations to this campaign in this election cycle will not exceed $200, and
- your donation is not financed by a corporation, labor organization, bank, government contractor, or foreign national.
For donations of more than $50, print and mail this form:
| First Name: | |
| Last Name: | |
| Street Address: | |
| City, State, ZIP: | |
| Occupation: | |
| Employer's Name: | You can write "self-employed" or "retired" here if applicable |
| Contribution Amount: | $ |
| E-mail: | |
| Phone: |
Make checks payable to:
Brian Holtz for Congress
12800 La Cresta Dr.
Los Altos Hills, CA 94022
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