Thank you for your contribution. This contribution is NOT TAX DEDUCTABLE. North Carolina law prohibits me from accepting contributions from lobbyists,businesses. All contributions must be from individuals only. North Carolina also limits your contribution to no more than $4000 per individual. Any contribution over $50 requires your name,address,occupation and employer per North Carolina law.

Please print this out with your contribution and mail to:
Cook for Lt. Governor
6618A High Rock Rd
Brown Summit, NC 27214

Name:_________________________________________________

Address:________________________________________________

Occupation:_____________________________________________

Employer:_______________________________________________

Amount:

$4000
$3000
$2500
$2000
$1000
$500
$250
$100
$50
$25
other_______