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This contribution is made from my own funds and not from those of another. This contribution is not made from the general treasury fund of a corporation, labor organization or national bank. This contribution is made on a personal credit or debit card for which I have a legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another. I am not a federal Government Contractor, nor am I a foreign national who lacks permanent resident status in the United states.
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ADDRESS Paulden, AZ
Paid for by Andy Tobin for AZ Corp Commission
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ADDRESS Paulden, AZ
2016 Paid for by Andy Tobin Arizona Corporation Commission

Donor Information

First Name*
Last Name*
Address*
Address 2
City*
State*
Zip Code*
Phone*
Email*

Choose Your Donation Amount

Donate (up to $5,000)

More Information

Your Occupation*
Your Employer*

Spouse Information, if Joint Contribution

Spouse Name
Spouse Occupation
Spouse Employer
Phone
Email

Check the box to meet federal contribution requirements:*

This contribution is made from my own funds and not from those of another. This contribution is not made from the general treasury fund of a corporation, labor organization or national bank. This contribution is made on a personal credit or debit card for which I have a legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another. I am not a federal Government Contractor, nor am I a foreign national who lacks permanent resident status in the United states.
Andy Tobin, Arizona Corporation Commission