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Mail donations to:
Belden for Assembly 2012
P.O. Box 1862
Pioneer, California 95666
Please include a completed contribution form as required by state law.

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Endorse/Volunteer

Please complete this form to endorse Mark or to help out with his campaign. If you prefer, you can download and print an endorsement/volunteer form to complete and mail in.

We appreciate your support!

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I authorize Mark Belden and his campaign committee to use my name to endorse Mark Belden for CA State Assembly District 5. I understand that my endorsement may be used in printed campaign literature, press releases, web sites and advertising materials for the duration of the campaign.

I would like to volunteer with Mark's campaign:

Put up a yard sign

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Make phone calls

Help with fundraising

Walk/drive my neighborhood

Take Mark to a meeting of my organization

Host a coffee or neighborhood get-together

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