Elect John "Mr. Z" Zickefoose: Contribute to Mr. Z Campaign for Corona-Norco School Board of Trustees

1. Make Check Payable to: Committee to Elect John "Mr. Z" Zickefoose
    Fill Out the Form Below and Click on the "I'm Paying by Check" button.
         Mail Check to:
         Isabel R Esparza, Treasurer • 1435 Brentwood Drive, Corona, CA 92882

2. If contributing by PayPal or Credit Card, Fill out the form below and you will be
redirected to our Secure Payment section through PayPal.

A Printable Fill-in Form is also available by clicking here: Contribution Print Form

The Following Information Is Required By Law: *

Name:	Name Required.
Spouse Name:	Spouse Name or N/A Required.
Address:	Address Required.
City:	City Required.
State:	2-Digit State Required. (2-Digit State Code) Zip: Zip Required.5-Digit Zip Format.
Home Phone:	Phone Required.(000) 000-0000 Format.
Work Phone:	Phone Required.(000) 000-0000 Format.
E-Mail Address:	Email Required.Email Format.
Occupation:	Occupation Required.
Employer:	Employer, Self or N/A Required.
Spouse Occupation:	Spouse Occupation or N/A Required.
Spouse Employer:	Spouse Employer, Self or N/A Required.
Please Select Contribution:	Please select Check or Credit Card.
Please Select Amount:	Please Select Amount.
Signature	Type Name as you would sign Signature Required.

* State law requires our committee to report the full name, address, occupation and employer for each individual whose contributions exceed $100 in a calendar year. Please read our Privacy Policy regarding the information we gather.

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