HomeMy WebLinkAboutNew Committee Registration FormPRESTONE TOWN CLERK
9950 Park Avenue
1lrestone, CC] 90520
TownClerk@FirestoneCO.gov
Ph: (393)532 6264
Fax. (7 0)713 4106
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Select Only One Committee Type:
Candidate Committee r State Political Committee Small Donor Committee d" Political Patty
Issue Committee C Small -Scale Issue Committee 527 Political Organization
Name should he tic°scriptive. f ncludc tinier. organ
Committee Address (physical):
Committee address (mania ):
Phone lumber _ - Alternate Phone Number: Fax Number:
Check Only One Jurisdiction Web Address:
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Special District inter Applicable
Municipal Mile with MunicipafltySchool District a
Y Counties;
Purpo elOee Sought (include party`(NP), office, (NP) & election year, if applicable):
Financial Institution Information.
Institution Narrate:
Instittation Address
oriied Agents Contact filf4rtnation:
Itt*istere# Agent:
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Print Candidate lame;
Designated Filitt geut4 (optional)
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Firesio no Town talent, Rev 12/2 23