I need your help to get my message out to the voters. Your most generous contribution is greatly appreciated.

Thank you for your financial support and friendship. Working together, we will secure a brighter future for our citizens and families.

To contribute, please print this page, complete the information required by the Board of Elections and mail to:

Dollar for House
P.O. Box 1369
Cary, NC 27512

Nelson, please accept this generous contribution for your campaign.
__ $500    __ $250    __ $150    __ $100    __ $50    Other ________

Please make your personal checks payable to: The Dollar for House Committee

Name: _________________________________________________________

Address: _______________________________________________________

City: ___________________________State: ________ Zip: _______________

Employer: _______________________ Occupation: _____________________

Home Phone: (___)________________ Work Phone: (___)_________________

Fax: (___)______________E-Mail Address: ____________________________

State Election Law requires campaigns to gather the above information for all donors whose aggregate contributions exceeds $50.