Dallas Burnett Campaign Contribution Form

Financial Contribution Form

Thank you so much for your support!

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$ Donation Amount:

Who's giving today?

Please fill out the information below. Remember that contributors whose cumulative contributions are over $100 will have their Name and Contribution Amount shared publicly as per Bylaw 8791.

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Terms

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Donation Summary
Payment Amount
Giving Frequency	One time
Donation Total

Donation Total: $50