Contribute By Check

To contibute by check, please complete the form below and mail it to:

WAND PAC
691 Massachusetts Ave.
Arlington, MA 02476

Please indicate whether you are donating to WAND PAC or directly to the candidates.

WAND PAC Donation

Name

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Address

 

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City

 

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State                          Zip

 

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Phone

 

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Fax

 

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Email

 

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Occupation (required by FEC)

 

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Employer (required by FEC)

 

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Form of payment

 

Enclosed is a check for $_________

________I would like to be considered a member of WAND.

Paid for by WAND PAC and not authorized by any candidates.