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Elect Betty Brown District Court Judge

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Paid for by the
Committee to Elect
Betty Brown
P.O. Box 1788
High Point, NC 27261
336-274-3005

Contribution Form

Please send your contributions to: Committee to Elect Betty Brown
P.O. Box 1788 High Point, NC 27261-0587

State law requires the following:

1) Those contributing over $50.00, please include your name, address and occupation.

2) It is unlawful for any corporation, business entity, labor union, professional association, or insurance company to directly or indirectly contribute to a candidate.

	Contribution Amount:
	$25.00 enclosed
	$50.00 enclosed
	$75.00 enclosed
	$100.00 enclosed
	$250.00 enclosed
	$500.00 enclosed
	$1,000.00 enclosed (maximum individual amount allowed)
	Other amount __________

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