To financially support Terry McCoy’s efforts to bring integrity and fiscal responsibility to the office of Clermont County Recorder, print out this form and mail back to the McCoy campaign HQ:

 

6284 Branch Hill Miamiville Rd.
Loveland , Ohio 45140

Checks should be made payable to “McCoy for Recorder Committee”.

Corporate checks are not permitted.

 

 

NAME:__________________________________________________________________

 

ADDRESS:_______________________________________________________________

CITY:_______________________ STATE:___________   ZIP:_______________

 

TELEPHONE:________________________

 

EMAIL ADDRESS:__________________________________

 

AMOUNT OF DONATION:$__________________

 

In order to comply with election laws contributors are required to provide their employment information. If you are retired, please enter “N/A” under Employer and “Retired” under Occupation; if a homemaker, please enter “N/A— Homemaker”; if self-employed, please enter “Self-employed” under Employer and describe your line of work under occupation.

 

 

EMPLOYER:_______________________________________________________________

 

OCCUPATION:_____________________________________________________________