OFFICIAL NANCY PEARLMAN WEBSITE

EDUCATOR * ENVIRONMENTALIST * BROADCASTER

ANTHROPOLOGIST * OUTDOORSWOMAN

Contributions

                                                                           CONTRIBUTION FORM

Please make checks payable to: NANCY PEARLMAN FOR COLLEGE BOARD RE-ELECTION COMMITTEE.  The following information is required by California State laws for all contributions of $100 or more ($99 or less do not need to be reported but your contact information would be helpful.) We are prohibited from depositing any check of $100 or more without this information.

Name: ___________________________________________________________
Street Address: ____________________________________________________
City/State/Zip Code: _______________________________________________

Occupation & Employer: _____________________________________________
If Self-Employed, nature of Business:_________________________________________________________
If Political Action Committee, ID Number:_____________________________________________________
Amount of Contribution:$____________________________________________________
This information is optional for reporting purposes:
Business ___
Personal ___

Home Phone:_________________________ Business______________________
Phone:______________________

Contributions to this committee are not considered charitable contributions for income tax purposes.




 Paid for by Nancy Pearlman for College Board Reelection Committee #1265596