UNITED CALIFORNIANS FOR TAX REFORM
CALIFORNIA SIMPLE TAX INITIATIVE
MANDATORY ENDORSEMENT AND/OR CONTRIBUTION FORM
INDIVIDUAL ENDORSEMENT
Name________________________________________ Signature ______________________
Name________________________________________ Signature ______________________
Street ________________________________ City _________________ State ____ Zip ________
Occupation (required) ______________ Employer (required) _____________________________
(If self-employed, provide name of business)
Email (optional) _________________________
Comment for possible use on our website (optional) __________________________________
_____________________________________________________________________________________
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BUSINESS / ORGANIZATION ENDORSEMENT
Name of Business or Organization_________________________________________________
Signature & Title of Authorizing Officer _____________________________________________
Street ________________________________ City _________________ State ____ Zip ________
(optional) Email ______________________ Phone ________________ FAX _____________
Comment for possible use on our website (optional) __________________________________
_____________________________________________________________________________________
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CONTRIBUTIONS (optional)
AMOUNT c $10 c $20 c $50 c $100 c $250 c $500 c other _______
Individual Contribution c Corporate Contribution c
Please make checks payable to "UNITED CALIFORNIANS FOR TAX REFORM" and write "CAL SIMPLE TAX: State ID # 942030" on the check.
Mail this form, plus check or money order, to:
CAL SIMPLE TAX, 14252 Culver Drive # 728, Irvine CA 92604 Thank you!!
CAL SIMPLE TAX and the UNITED CALIFORNIANS FOR TAX REFORM operate within the regulations of the Fair Political Practices Commission of the State of California (registered with the California Secretary of State, ID No. 942030). Contributions can be accepted from individuals, corporations, and most other domestic entities. Foreign contributions cannot be accepted at this time.
Contributions to CAL SIMPLE TAX are not tax deductible.