Letcher County Democratic Party

Dedicated to Local Progress

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Your contritution will help build the Democratic Party in Letcher County. Funds are greatly needed especially in this local elections season to get out the vote and to promote our party nominees. We appreciate your generous giving and promise to work hard to promote the Democratic values that you support.*First Name *Last Name *Street Address *City *State *Zip Code: Email Address Phone Number

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1. I am a United States citizen or a permanent resident alien.
2. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
3. This contribution is not made from the treasury of an entity or person who is a federal contractor.
4. The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.

Your contribution is not tax-deductible as a charitable contribution for Federal income tax purposes.

Federal Election law requires political committees to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year. Your contribution will be used in connection with Federal elections and is subject to the limits and prohibitions of the Federal Election Campaign Act.

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If you prefer to make your contribution by check, please make check payble to:

Letcher County Democratic Party

Mail to:

Letcher County Democratic Executive Committee Jim Follace Fields, Treasurer, Whitesburg, Kentucky 41858