YES, I WANT TO HELP ELECT STEPHEN AS MY NEXT STATE REPRESENTATIVE

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	YES, I WANT TO HELP ELECT STEPHEN AS MY NEXT STATE REPRESENTATIVE
Print this page, fill out and mail to: The Committee to Elect Stephen J. Comtois II, P.O. Box 6, Brookfield, MA 01506

Name:________________________________________

Street:_____________________________________________________________

City/Town: _____________________ State: _____ Zip: ____________

Home Telephone: (____)______________

Work Telephone: (____)______________

Occupation: ____________________________________________

Employer: _____________________________________________

E-Mail Address: _________________________________________

Here is my personal check made payable to The Committee to Elect Stephen J. Comtois II.

$25.00

$50.00

$100.00

$250.00

$500.00

Other__________

Campaign Tools:

You may use my name as an endorser

I will send out "dear friend" cards

I will place a bumper-sticker on my car

I will drop literature door to door

I will stuff envelopes

I will make telephone calls

I will hold a sign

I will display a yard sign

Other ways you might like to volunteer:

PAID FOR BY THE COMMITTEE TO ELECT STEPHEN J. COMTOIS II, P.O. BOX 6, BROOKFIELD, MA 01506
CONTRIBUTIONS ARE NOT TAX DEDUCTABLE. CORPORATE CHECKS ARE PROHIBITED BY LAW.

Mail to: The Committee to Elect Stephen J. Comtois II, P.O. Box 6, Brookfield, MA 01506