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To contribute via check please print this form and mail with your check to:

Gaines for Senate 2012
PO Box 984
Willows, CA 95988




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State Law requires the above information. Contributions are not tax deductible for federal or state income tax purposes. Proposition 34 allows contributions of up to $3900 per individual or entity per election. Paid for by Gaines for Senate 2012.

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