Please print form or copy requested information and include with your company or personal check, payable to:

Janice Keating for Supervisor 2006

And mail to:

121 Chabot Court
Modesto, CA 95354

Enclosed is my contribution of:

              _____ $2000   _____ $1000    _____ $500   _____ $250    _____ $100   _____ Other

In addition I can help by:

          ___ Walking precincts                   ___ Hosting a fundraiser

        ___ Putting a sign in my yard         ___ Mailing letters or cards

        ___ Working on the phones            ___ Volunteering at headquarters

        ___ You may use my name as an endorsement 

The following is required for the public reporting of contributors of candidates for public office:

Full Name:   ______________________________________________________

Residence Address:   ______________________________________________

City, State, Zip:   _________________________________________________

Phone:   _________________________________________________________

Employer:   _______________________________________________________

Occupation:   _____________________________________________________

Contributions are not deductible for income tax purposes
Personal and corporate checks are accepted
Campaign ID 1282685

Every vote counts so please help spread the word to your friends, neighbors and colleagues.  I am always available for meet and greets or appearances at organization meetings - just let me know where and when.

Thank you for your support - I am truly blessed!

Janice Keating