Volunteers and Donors Kiosk

Here is my contribution to Karen's campaign fund:

You can mail a check to 3428 Janice Way, Palo Alto, CA 94303, or use the convenient, secure PayPal™ credit card option
on the page that comes up when you use the "Send My Responses" button below

Whatever method you choose, we do need the information requested in the following section

My contact information is:

Your information will be kept strictly confidential, except as required by law*

                  First Name

                  Please, we need this
                
                  Middle Initial

                  At your option
                
                  Last Name

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                  Street Address

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                  Address 2

                  e.g., Apt No., Mail Stop, etc.
                
                  City

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                  State

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                  ZIP Code

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                  Home Phone

                  At your option
                
                  Work Phone

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                  E-mail

                  Please
                
                  Occupation*

                  May be required by law *

Employer*

May be required by law *

*California law requires us to report this information for anyone contributing a total of $100 or more during the campaign

Volunteers & Donors Kiosk

Yes ... I want to help elect Karen Holman to our Open Space District Board

I would like to:

Here is my contribution to Karen's campaign fund:

My contact information is: