Name    Address     City/State

Zip     Phone     Email

Please check all areas in which you are willing to show your support:

Vote for Rosemary on November 7, 2006
Walk a neighborhood
Distribute literature to neighbors and/or organizations to which I belong
Use my name to endorse Rosemary Saylor
Host an informational gathering for neighbors and community friends
Display a yard sign
Donation:

$25     $50     $99     $200     $500   $1000    Other
Please enter amount for Other:
No amount is too small! Everything helps!
PLEASE NOTE: If you wish to donate more than $99 it is required that you provide the name and address of your employer or that of your spouse, if you are not employed. Please enter this information in the Comments Box below. If you are retired, please state. Thank you!

Send checks to:

Rosemary Saylor Campaign Committee
330 Crest Avenue
Huntington Beach CA 92648

Campaign Committee ID # 1291196

Questions or Comments for Rosemary?