Dear Lan,

 Yes, you may use my name in support of your campaign for Garden Grove Board of Education

_____________________________________

Signature

 I will help distribute literature          I will make phone calls         I will place a yard sign

 I will host a coffee or a fundraiser   I will mail “Dear Friends” cards

 Enclosed is my contribution of:

             $50    $100              $250              $500              $1,000           Other _________

Please make check payable to: Lan Nguyen For Board of Education

State law requires that we have the following information before we may accept your contribution:

Name: _____________________________  Occupation & Position ______________________

Employer/ Name of Business _____________________________________________________

Address ___________________ City __________________ State ____________ Zip ________

Business Phone _______________ Home Phone _____________ Email ___________________

Please make check payable to: Lan Nguyen For Board of Education – 9141 Bolsa Ave., Suite 303, Westminster, CA 92683. I.D.# 1247073. Contributions are not deductible for federal or state income tax purposes.