I can contribute:
 		__ $500	__ $200	__ $100	__ $50	__$25	__ Other ________
 	
 
 		I will:
 
 		__ host a lawn sign for Phil
 
 		__ host a house party for Phil
 
 		__ walk door to door with Phil
 	
 
 		__ Yes, I endorse Phil! He may use my name as an endorsement.
 
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 		City ________________________ State ___________ Zip _________________
 
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 		note: Occupation is required for Oregon campaign reporting purposes.
 
 Your political contribution (up to $100 jointly or $50 individually) is allowed
 as a tax credit on your Oregon State income tax.
 
 Authorized by the Friends of Phil Barnhart.
 Your Support makes a difference!