Jack Killingsworth for Supervisor of Elections
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Contribute by Mail

My campaign is now accepting contributions in any amount up to $500 (the maximum amount allowed by Florida law to be contributed per person per election).

If you wish to US mail in your contribution to my campaign, please print this form, fill it in, and mail it to:

   Campaign Account of Jack Killingsworth
   Jack Killingsworth for Supervisor of Elections
   10380 - 131st Street North
   Largo, Florida 33774-5503

And thank you for your support!

Jack K.



Amount (from $1 to $500): $        .

Today's Date:


Name:


Street Address:


City:


State & ZIP:


Phone:


Fax (Optional):


Email:


Occupation (required by Florida law):


Please mail this contribution form to the address below with your check payable to:

   Campaign Account of Jack Killingsworth
   c/o Jack Killingsworth
   10380 - 131st Street North
   Largo, Florida 33774-5503

 And thanks again for your support!

Jack K.


Jack Killingsworth for Supervisor of Elections
10380 - 131st Street North
Largo, Florida 33774-5503 		Phone:
Fax:
Email: 		(727) 483-9626
(530) 698-4978
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Jack Killingsworth, Democrat, for Supervisor of Elections.