Mailing In Your Donation
To mail in your contribution, print the form and send it with your check payable to:
Friends of Charles Samuels
203 N MULBERRY ST
RICHMOND VA 23220-4014
Is there a limit?
There are no contribution limits for local and state offices in Virginia, unlike in federal elections.
Why do you collect certain information?
Virginia law requires us to report the name, mailing address, job title or profession and name of employer or employer`s specific field for each individual whose cumulative contributions aggregate in excess of $100 in an election cycle.
Can companies and organizations contribute?
Yes. In Virginia, individuals, partnerships, committees, corporations and labor organizations may contribute in support of or in opposition to candidates for nomination or election to public office.
First Name ___________________________________ Middle Initial _____
Last Name ____________________________________ Suffix ________
Spouse's Name ________________________________ Middle Initial _____
Last Name ____________________________________ Suffix ________
Your Mailing Address____________________________________________
City_______________________ State________ Zip Code___________
Home OR Work Phone required:
Home Phone ________________ Work Phone _________________
Fax _______________________
E-mail ________________________________
Your Employer _____________________
Your Occupation _____________________
Amount of Donation$_________________________________________