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I want to thank you so much for your support. Your contribution will make a tremendous difference and your vote is priceless.
Please print this form, fill out the information and mail it with your check to:
Prather for Tulsa
Paul F. Prather
P.O. Box 2734
Tulsa, OK 74101-2734
Contribution Amount (circle one): $5,000 $1,000 $500 $250 $100 $25 Other _______
Name:
Address:
City, State, Zip:
Phone:
E-mail Address:
Occupation:
Employer:
*Please make check payable to “Prather for Tulsa”
Declarations: The contribution listed above was freely and voluntarily given by me from my personal property. I have not, directly or indirectly, been compensated or reimbursed for the contribution listed above. Signature: ________________________________ Date: _______________________
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