Delegate Brian J. Feldman

	Maryland Delegate Brian J. Feldman

Contribute to Brian's Campaign

Complete and print the form below and mail your check.




	Mr. or Ms.
	First Name
	Middle Initial
	Last Name
	Street Address

	City
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	Daytime Phone	Call here first
	Evening Phone	Call here first
	Mobile Phone	Call here first
	Fax
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Campaigns are expensive. Any help you
can provide is very much appreciated.
Please complete and print this form and mail check to:

Citizens for Brian Feldman
P.O. Box 34408
Bethesda, MD 20827

Thank You!

Yes Brian, I want to help you continue fighting for us in Annapolis.

Enclosed is my check for:
$25 $50 $100 $200 $______

Paid for by Citizens for Brian Feldman, Elaine Garson, Treasurer