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: