| Name | _____________________________________________ |
| Address | _____________________________________________ |
| Address | _____________________________________________ |
| City, State, Zip | _____________________________________________ |
| Email Address | _____________________________________________ |
| Home Phone | _____________________________________________ |
| Work Phone | _____________________________________________ |
| Occupation | _____________________________________________ |
| Employer | _____________________________________________ |
| Preferred Contact Method | ___ Work Phone
___ Home Phone ___ Email ___ Mail |
| Please sign me up for: | ___ Mailing List - Keep up to date ___ Office Work - Fold and stuff for mailings ___ Walk the City - Pass out flyers door to door ___ Yard Sign - Get yours in September ___ Contribute - We will contact you about future events ___ Host a Mixer - Invite your friends and neighbors to a mixer |
| Contribution Amount: | $______________
Laguna Niguel City Ordinances limit contributions to a maximum of $1,000.00 per person ($2,000 per couple) per election. |
| Contribution Method: |
Checks - Please make payable to Ming for City Council Credit Card Number ________________________ Exp ___/___ |
| Signature _____________________________________________ |
| Please mail checks to
Ming for City Council 29062 Jarod Way Laguna Niguel, CA 92677 |
For credit card contributions, please fax this form to 949-643-3862 or mail to the address at the left. |
Thank you for your support! Paid for by Ming for City Council ID 1262852 | |