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.