Five Dollar Form
I need your help to qualify for the ballot and funding. I need 4,410 $5 contributions from registered voters in Arizona to qualify for Clean Elections funding. Any registered voter may contribute, regardless of party affiliation. Each voter must complete a separate form. A married couple must submit two forms. They can give a single check, but they both must sign it.
Please download and fill out the form and send $5 cash or a check payable to VoteDeanMartin.com
Please make sure you complete BOTH the contributor and solicitor sections.
Mail completed forms to: 23227 N. 23rd Place, Phoenix, AZ 85024
