Contribution Form for Friends of Don Praisner
2620 Shanandale Drive
Silver Spring, MD 20904-1629
To contribute to "Friends of Don Praisner" by check or money order, please print
this page by clicking print above, fill it in completely, and follow the simple directions.
We cannot accept anonymous contributions. Law requires that such contributions be
paid over to the Treasurer of the State of Maryland.
Name:__________________________________________________
Street address:___________________________________________
(No P. O. Boxes please) Apt. Number
__________________________________________________________
City State Zip+four
Email:__________________________________________________
Phone:__________________________________________________
Alternate Phone:___________________________________________
Date of contribution:__________________________________________
Amount of contribution:________________________________________
_____ I would like to volunteer for the campaign. Please contact me about volunteer opportunities.
Please make your check or money order payable to: "Friends of Don Praisner"
Please mail your contribution to:
Friends of Don Praisner
2620 Shanandale Drive
Silver Spring, MD 20904-1629