FALL FEST REGISTRATION

Bolivar Event Reply Form

First Name

Last Name

Street Address

City

Postal / Zip code

Region/State/Province

Phone

Yes, I/we will support the event on October 13th (Paymet to be made at the event or mailed prior to the event)

Chair $5,000 ($2,500 per candidate)

Sponsor $2,500 (1,250 per candidate)

Host $1,000 ($500 per candidate)

Attendee $50 ($25 per candidate)

Sorry, I/we are unable to attend your event, but I/we do support your campaign. I will mail you my contribution of the amount below.

PLEASE MAKE ALL CHECKS PAYABLE TO:
BALDERSON FOR CONGRESS & JOHNSON FOR CONGRESS
IF MAILING YOUR CHECK PLEASE MAIL TO 211 S. FIFTH STREET, COLUMBUS, OH 43215

QUESTION OR TO RSVP BY PHONE USING A CREDIT CARD PLEASE CONTACT:
Samantha Pollock at samantha@rb-strategies.com or 740-632-5524 or
Melissa McNulty at melissa@mcnulty-associates.com or 614-551-2925