_____ $500 Co-chairs (4 attendees)
_____ $250 Hosts (2 attendees)
_____ $50 per person
_____ I cannot attend, but please accept my
generous contribution to support his re-election.
Please make checks payable to
Friends of Chris Peace
P.O. Box 819 Mechanicsville, VA 23111
Name (s): _________________________________________________________
Company Name:____________________________________________________
Address:__________________________________________________________
Phone: _________________________ Fax: ______________________________
Email: ___________________________________________________________
Occupation: _______________________________________________________
Employer: _________________________________________________________
Political Contributions are not tax-deductible. Authorized and
paid for by Friends of Chris Peace. Corporate Contributions are accepted. State law requires employer and occupation information
for contributions over $100 in a calendar year.