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Name: ________________________________________ Contract/ID Number: ___________________________________
Address: ____________________________________________________________________________________________
Phone: ________________________________________ Email: _______________________________________________
Signature: __________________________________________________________________________________________
Join the Blue Diamond PAC Invest in your future today!
PAC contributions are not deductible for federal or state income tax purposes.
SUSTAINING MEMBER: $5000
• Includes admission to all PAC events
• Includes recognition on PAC materials
DIAMOND MEMBER: $1000
INDIVIDUAL MEMBER ($2 per acre/minimum
$150): $___________
Other: $___________
Please deduct the indicated level of contribution
from my contract no. ___________________
on an annual basis
I prefer to make a one-time contribution by check
Please make check payable to
Blue Diamond Issues Action Program
P.O Box 1768 Sacramento, Ca 95812
Please select one of the following payment options: Please select one of the following contribution levels: