Hal Plotkin for Trustee
Post Office Box 61164
Palo Alto, CA 94306

Enclosed is my check for:

____$500 ___$250 ___$150 ___$100 ___$50 Other $________

___ You may use my name as a supporter
___ I will make telephone calls
___ I will host a coffee or other event
___ I will walk a precinct
___ I will display a yard sign
___ I will help on the campaign

To help comply with FPPC regulations, please fill in the following:

Name _____________________________________________________________________

Address ___________________________________________________________________

City, State, Zip ______________________________________________________________

Occupation _________________________________________________________________

Company __________________________________________________________________

Home Phone (optional) _____________________ Work Phone (optional) ________________

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Signature ___________________________________________________________________

MAIL THIS FORM TO:      HAL PLOTKIN FOR FHDA TRUSTEE
                                              Post Office Box 61164
                                              Palo Alto, CA 94306

PLEASE MAKE CHECKS PAYABLE TO: Hal Plotkin for FHDA Trustee, Contributions are not
tax deductible as charitable contributions. Paid for and authorized by the Hal Plotkin for Foothill-
De Anza Trustee Committee 650/949-0693 FPPC ID#1255256