Lee Terry for US CongressLee Terry for US Congress

To contribute to the Lee Terry for Congress Campaign, you can make a donation by printing out this page and mail it along with your check made payable to Lee Terry for Congress to:

Lee Terry for Congress
P.O. Box 540098
Omaha, NE 68154

ATTENTION MEMBERSHIP OFFICE:
	YES, I want to help the Lee Terry for Congress Campaign! Individuals may contribute up to $1,000 for the Primary election and $1000 for the General election. I understand I may contribute to the Primary, General or both using the form below.
	Primary:
	$1,000 $100 $10	$500 $50 Other	$250 $25 $
	General:
	$1000 $100 $10	$500 $50 Other	$250 $25 $
	I hereby authorize that if this contributions(s) to Lee Terry for Congress either individually or when aggregated with previous contributions exceed(s) the $1,000 per person maximum for the Primary that portion which exceeds the $1,000 Primary limit shall be redesignated to my General election limit of $1,000. I understand that contributions from corporations, Federal contractors and foreign nationals not lawfully admitted for permanent residence in the United States are prohibited. Contributions are not deductible for Federal Income tax purposes.

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Please Print This Page After Completing the Form and Send it to the Above Address. Thanks.




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Office: 402-691-0333/Fax: 402-691-0319 P.O. Box 540098 Omaha, NE 68154