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Please download this form and fill out completely.

Please make check out, completed contribution form and mail to:

Cervantes for Lafayette City Council 2024
880 Broadmoor Court
Lafayette, CA 94549
FPPC ID #pending

Please include your occupation and employer as well as your contact information as required by state law on the form.

*The CA. Political Reform Act (Prop. 34) places limits on contributions to candidates for state office and imposes certain prohibitions. This request does not seek a contribution in excess of applicable limits or from prohibited sources. An individual, union, PAC, and other entities may contribute a maximum of $5,500 to each election, Primary and General. A registered Small Contributor Committee may contribute a maximum of $5,500 per election. Contributions are not deductible for tax purposes.

Election law requires us to publicly report cumulative contributions of $100 or more. We may not accept contributions from individual donors without their name, street address, and occupation and employer information.

In making this contribution, the contributor affirms that he/she is a United States citizen or a permanent resident alien.

There are exceptions for some types of political parties and committees.