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Contribution Form

                                  Bill Hall for State Board of Education

                                   (Print, complete and mail this form.)

 Yes, I’d like to contribute to Bill’s campaign! 

Donation Amount $____________                          

 Name__________________________________________________________                                                                                                                 

Address________________________________________________________                                                                                                            

City______________________  State/Zip Code_________________________                                           

Email_____________________  Telephone____________________________                                                    

Occupation________________   Employer_____________________________                                                      

Work Address_______________________________________________________

City______________________  State/Zip Code_______________________ 

Please make your check payable to “Friends of Bill Hall” and mail to 111 Lyon, NW, Suite 900, Grand Rapids, MI 49503-2487.

To charge your contribution, please provide the following information:

Name on Card__________________________________________________________                                                                                                  

Card Number___________________________________________________ 

Expiration Month/Year______________ 

Security Code (last 3 numbers on reverse)________________   

Bill Hall
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Paid for by the Libertarian Party of West Michigan from regulated funds, PO Box 3685, Grand Rapids, MI 49501-3685.  Content provided and authorized by the Candidate.