Support Carlyn Obringer for Supervisor

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Please download this form, fill it out completely, and mail along with your check to:

Carlyn Obringer for Supervisor 2022
2992 Bella Drive
Concord, CA 94519
FPPC ID# 1442309

Contribution Rules:

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  • 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.
  • Contributions to Carlyn Obringer for Supervisor 2022, FPPC ID# 1442309, are not tax deductible for income tax purposes.