Contribution Form

Print & Mail Contribution | Contribution Letter

Contribution Type 
Personal DonationBusiness or Organization

Name or Organization Name 

No. & Street 

5-digit Zip Code
City & State 

Telephone No. 

Occupation/Organization Type 

Employer Name 

Employer Location
City & State 

Amount of Contribution
USD, no more than $2,500 

Please make check or money order payable to "Committee to Elect Adah Roberts" and mail to P.O. Box 72, Lizella GA 31052. Direct any questions to 478-391-4066.

Other ways I'd like to help: 
Have a small event in my home
Put up yard signs
Put a bumper sticker on my car
Volunteer to stuff envelopes, answer phones, etc.
Use my name on a list of Adah Roberts supporters
Help make telephone calls
Hand out flyers

About Adah | Contact Adah: | (478) 391-4066

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