Steve Barrar Campaign Contribution Form


If you are interested in making a donation to the Steve Barrar Re-election Campaign, please print and complete this page, make your check...

Payable to:

"The Friends of Steve Barrar"

and Mail it to:
Friends of Steve Barrar
c/o Beth Zenuk
12 Bernard Street
Aston, PA 19014

Name: ______________________________

Address: _____________________________

City: _________________    State: _____    Zip code: ________

If your donation is over
$200, campaign reporting law requires the following information:

Occupation: ____________________________

Employer: ____________________________

Address: ______________________________

City: ________________    State: _____    Zip code: _________

Phone: ____________________

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions aggregate $200 or more per election cycle. Corporate contributions and contributions from foreign nationals are prohibited by Federal Law. Contributions are NOT deductible as charitable contributions for Federal income tax purposes.

Paid for by Friends of Steve Barrar, www.barrar.com