home bio issues contribute volunteer contact_us
click to print this page in pdf form! print page e-mail this to a friend
Complete the details below to send our link to your friends.
*Your name(required):
*Your email(required):
Please enter your friend's email addresses below:
*Email 1(required):
Email 2:
Email 3:
The email that will be sent will contain your name and email address.
 
Close
Make an Online Contribution

You may contribute with either a credit card online or a check by mail. Thank you for your generosity.

Name:                 

E-mail address:  

Street address:   

City:                       State:  

Zip:                      

Home Phone:           Employer     

Alt Phone:               Occupation   

Amount of Donation ($390 is the maximum donation)    $

By checking the box below, I certify this is my personal credit card not funded by a corporation source. I am a U.S. citizen or permanent U.S. resident. This contribution will not be reimbursed by anyone else who contributes to Jerry Weiers campaign.

If you understand and comply with the statement above please check the box.




Contribute By Mail

If you would prefer to contribute by check, please download either the Adobe PDR or Word Doc. contribution and mail it along with your check to:
Jerry Weiers 2008
5025 N 81st Drive, Glendale, AZ 85303
Please call 602.677.0755 if you have any questions and thank you!

Download the PDF or the Word Doc file $390 is the maximum contribution limits per person
Contributions to Jerry's campaign are not tax-deductible for ferderal income tax purposes. Contributions to the campaign will be used in connection with Arizona state elections and are subject to the limits and prohibitions of Arizona Law. The maximum contribution is $390 per person ($780 per couple). Corporate and foreign national contributions are not permitted under Arizona law. We are required to report the name of your employer and your occupation, so please include that information with your contribution.





www.jerryweiers.com