Help restore Liberty to Monmouth County!


Yes! I want to further the cause of Freedom by helping to elect Virginia and Robert!

______ I want to help fund those beautiful Campaign Ads!

Enclosed is my Donation of ______________

Please make checks payable to: Hull/Flynn '99

Print out this form and send to: P.O. Box 448
Morganville, NJ 07751

For more info call: Pat Bontempo 775-7263

Regulations of the Election Law Enforcement Commission require that we have this information from all contributors.

Name ______________________________________________________________________

Address ____________________________________________________________________

Occupation __________________________________________________________________

Employer Name and Address ____________________________________________________

We do NOT disclose our contributors' information for donations not exceeding $300, as provided by law. If you wish to contribute to the campaign, but are concerned about disclosure, please call our ELEC compliance consultant
Dr. Len Flynn at 732-591-1328 or email at:  lenflynn@compuserve.com

WE PROTECT THE PRIVACY OF OUR CONTRIBUTORS TO THE EXTENT ALLOWED BY LAW