Donate By Check Or Money Order PDF Print E-mail

Friends Of Assemblyman David Koon appreciates your support. 
Please complete the form below and print.  Please mail your completed form with your donation by check or money order to:

Friends of Assemblyman David Koon
c/o Sandra Milko, Finance Director
144 Fairport Village Landing
Suite 227
Fairport NY 14450
585.234.6972

 

Personal Information:
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By signing this document, I acknowledge that this contribution is made from my own funds, and not those of another; and is not made from the general treasury funds of a corporation, labor organization or national bank. I am not a Federal government contractor, nor am I a foreign national who lacks permanent resident status in the United States. This contribution is made on a personal check or money order for which I have the legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another. 

 

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(c)2008 Friends Of Assemblyman David Koon

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