Please return by mail to:

Friends of Jay Edwards
69 South Ave.
Tiverton, RI 02878

Name _________________________________________________________

Address _______________________________________________________

City _________________________________ State ______ Zip ___________

Dear John,

I am joining your quest to restore honor, integrity and responsibility to state government in Rhode Island with my contribution of:

$25       $35       $50       $100       Other $_________

Please make your personal check payable to: Friends of Jay Edwards
Contributions to political campaigns are not deductible as charitable contributions for federal income tax purposes.

Funds received in response to this solicitation will be subject to the federal and state contribution limit of $1,000 per person, per calendar year. Federal & State election laws require us to report the following information:

Occupation __________________________________

Employer ____________________________________
Please check if self-employed

Telephone number: (          ) ___________________

E-mail address________________________________
Please check if you would like to receive campaign updates via e-mail


Thank You!