Friends of Mike Brubaker

Dear Friend,

Thank you.

Your willingness to step up with your time, talent or treasure, is appreciated more than I can possibly tell you.

Respectfully,
Mike Brubaker

If you desire to contribute financially, the form below must be completed and sent along with your check payable to: Friends of Mike Brubaker.

Thank you for your support.

DONATION FORM: (required items*)

*First Name
*Last Name
*Email Address
*Address 1
Address2
*City
*State
*Zip
*Home Phone
*Work Phone
*Occupation

Please add my e-mail address to your mailing list.

*Contribution Amount
$1,000.00
$500.00
$250.00
$100.00
$50.00
$25.00
$10.00
$

We are required by law to ask for the following information for all contributions above $250. This section is not required for contributions up to $249.99
*Employer
*Business Address 1
Business Address2
*Business City
*Business State
*Business Zip

We are required by law to ask for the following information for all contributions above $250. This section is not required for contributions up to $249.99
	I understand that corporate contributions are strictly prohibited by law.
	I understand that Pennsylvania State Law requires the disclosure of my employer and occupation if I am contributing more than $250.
	I understand that campaign contributions are not tax deductible.

Payment method:
	Credit card
	Personal check payable to Friends of Mike Brubaker. Payment by corporate check is prohibited by Pennsylvania election law.
Please mail checks to: Friends of Mike Brubaker 1002 Lititz Pike, Suite 222 Lititz, PA 17543

Brubaker Reforms

Intelligencer Journal/Lancaster New Era

State Sen. Mike Brubaker figured prominently in connection with Gov. Tom Corbett's government-reform plan, which was released on…

Lawmakers lend a hand with Hunger Garden

The Hunger Garden at the state Capitol is supplying fresh produce to local food banks.

It’s easy to complain about the people running our state. But here’s a big cheer to…


		Home \| Meet Mike \| Get Involved \| Upcoming Events \| Contact Mike \| Donate ©2012 \| Paid for by Friends of Mike Brubaker (James Beccone, Treasurer) \| 1002 Lititz Pike, Suite 222 \| Lititz, PA 17543