Thank you for helping!

Please fill out this form, then print and mail it to Betsy DeWitt for Selectman c/o George Humphrey, Treasurer, 46 Gardner Road, Brookline MA 02445.

If you wish to make a donation, enclose a personal (no corporate) check payable to Betsy DeWitt for Selectman. Please include your employer and occupation for gifts over $200.

I would like to support Betsy’s campaign. Enclosed is a contribution of:
$500   $250   $100   $50 Other

You may use my name publicly as an endorser
I will work on Election Day May 5, 2009
I will do assigned telephone calls work at the polls. drive voters to the polls

Name
Phone
E-mail
Street Address  
City   State Zip

Please make check payable to Betsy DeWitt for Selectman c/o George Humphrey, Treasurer, 46 Gardner Road, Brookline MA 02445. Include employer and occupation for gifts over $200.

Employer
Occupation

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