Please print this page, provide the information requested, and mail it along with your personal check.

 

Please make contributions payable to
"Friends of Glenn Ivey"
and mail to Friends of Glenn Ivey
P.O. Box 7408, Largo, MD 20792-7408

 
Name: ___________________________________________________________
Address: ___________________________________________________________
City: _____________________________ State: __________________
Phone: ___________________________________________________________
Fax: ___________________________________________________________
Email Address: ___________________________________________________________
Contribution Amount: ___ $35 ___ $50 ___ $100 ___ $150 ___ $250 ___ $500 Other$_____
 
Maryland State law permits individuals to contribute a maximum of $4,000
to a political committee in a four year cycle (January 1, 1999 to December 31, 2002).
 
Contributions made to political committees are not tax deductible.
Authorized by Friends of Glenn Ivey, Timothy O'Brien, Treasurer