PRINT OUT THE FOLLOWING AND MAIL TO:
Althea Polanski
Polanski for Milpitas City Council
2083 Mesa Verde Drive
Milpitas, CA 95035

Re-Elect Althea Polanski, Milpitas City Council

1. Althea, you may use my name publicly as an endorsement.
2. Althea, I will display a lawn sign.
3. Althea, I will walk my neighborhood for you.
4. Enclosed is my contribution to your campaign.

____ $350*    ____ $250   ____ $100   ____ $50   ____ Other $_______
         *Maximum allowable under Milpitas City Ordinance!

Please make checks payable to Polanski for Milpitas City Council.  Contributions are not tax deductible as charitable contributions.

Thank you for your support!

The following information is required by law:

      _____________________________________________________________
      Name
      _____________________________________________________________
      Address
      _____________________________________________________________
      City            State                      Zip
      _____________________________________________________________
      Occupation (Title)                                                            ID # if PAC
      _____________________________________________________________
      Employer (Name of business if self employed)
      _____________________________________________________________
      Business Address
      _____________________________________________________________
      Business Phone #                                                            Home Phone #

Paid for by the Polanski for Milpitas City Council Committee, FPPC # 1287660