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ABATE PAC Donation Form

 

Yes! I can make a donation to help out in the fight for our Rights!

 

_____$100  _____  $75  _____ $50  _____  $25 _____   Other

Name:

____________________________________________________________

Address:

__________________________________________________________

Address:

__________________________________________________________

City: _______________________ State: ____________

Zip: ______________

Member number (If Known): _____________________

Mail Donation form along with your generous donation to the ABATE PAC Treasurer at:

Boyd Buck

3118 Eastern Ave NE

Cedar Rapids, IA 52402-4143