Showing posts with label 50th Birthday Party Fundraisr. Show all posts
Showing posts with label 50th Birthday Party Fundraisr. Show all posts
Tuesday, February 4, 2014
50th Birthday Party Fundraisr for Assemblyman Luis Sepulveda.
This fundraiser comes from Sepulveda for Assembly.
Contribution Form
Name: _______________________________ Date: ____________
Address: _________________________________ Apt: _________
City: ______________________ State: _____ Zip Code: __________
Phone Number: __________________________________________
Email: __________________________________________________
Amount: $ ________________ Cash Check Credit Money Order
(Please Circle)
Mail contributions to: Oshrie Zak, Treasurer
Sepulveda for Assembly
881 Gerard Ave, Bronx, NY 10452
Thank you for our generous support.
Paid for by Sepulveda for Assembly.