Re-Elect Judge Craig Riemer

Make a Contribution

Make a contribution to help "retire the debt" remaining from Judge Riemer's successful re-election campaign by MAIL or BY CREDIT CARD ONLINE:

1. To contribute by MAIL, please do the following:

a. PRINT this page and complete the Contribution Form below

b. Make your check payable to RE-ELECT JUDGE RIEMER 2012

c. MAIL your completed form and check to: Re-Elect Judge Riemer 2012
c/o Treasurer, Richard Teaman, CPA
4201 Brockton Avenue, Suite 100, Riverside, CA 92501

2. To contribute ONLINE BY CREDIT CARD, please click on the flashing credit card icon below:

CONTRIBUTION FORM

YES! I want to help Judge Riemer retire his re-election campaign debt!

Enclosed is my contribution for:

[ ] $2,500 [ ] $1,000 [ ] $500 [ ] $250 [ ] $150 [ ] $100 [ ] $75 [ ] Other $_______

Contributions to Re-Elect Judge Riemer 2012 are not deductible for Federal or California tax purposes. Contributions may be made in any amount. California law permits corporate contributions.

California law requires political committees to report the name, mailing address, and employer for each donor whose contributions aggregate $100 or more per calendar year.

Please make your check payable to: RE-ELECT JUDGE RIEMER 2012

Please complete the following (required by state law) and return this form with your contribution:

Signature _____________________________________________________________________________________________________

Printed Name: _________________________________________________________________________________________________

Address:________________________________________________ City________________________ State_____ Zip_____________

Occupation ____________________________________________________________________________________________________

Employer ______________________________________________________________________________________________________

(if self-employed, please give the name of your business)

Phone(s) _______________________________________________________________________________________________________

E-mail _________________________________________________________________________________________________________

Thank you for your contribution and support!

Not printed or paid for at government expense. Paid for by Re-Elect Judge Riemer 2012, Committee # 1343171, Treasurer Richard Teaman, CPA

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