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If you prefer to contribute via check, please download, print, and complete the following REMIT form, and mail to:

Valencia 4 Fullerton City Council District 4 2024
2113 West St., Fullerton, CA 92833
FPPC# 1471578

Please include the following:
Name of Individual
Name of Company/Organization being represented (State N/A if N/A)
Home Address
City/State/ZIP
Phone
Email
Occupation
Employer

If the contribution is from a business, employer and occupation are not needed, but please provide the business address.

Contribution rules

  • I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder).

  • This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.

  • I am at least eighteen years old.

  • Maximum cumulative contribution per person per election is $5,500.

Contributions are not tax-deductible.

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