Fill the form in below (or print it blank and write by hand), sign it, and mail it with your check payable to "Ordman for Sheriff". Typed answers print right onto the form.

Contribution Form

Ordman for Dane County Sheriff

Mail this completed, signed form with your check, payable to "Ordman for Sheriff", to:

Ordman for Sheriff
PO Box 5128
Madison, WI 53705

Full name (required)

Street address (required)

City

State

ZIP

Occupation (required)

Employer (required)

Not currently employed? Don't leave these blank! Occupation: write Not employed, Retired, Self-employed, Homemaker, or Student. Employer: write N/A.

Phone

Email and phone are optional. We only ask for them to reach you if there's a question or issue with your contribution information. Neither is ever shared, and filling them in here will not sign you up for any newsletter, campaign, marketing, or advertising emails or texts.

By signing below, I affirm that: I am a U.S. citizen or a lawfully admitted permanent resident; this contribution is made from my own funds and is not reimbursed by anyone else; and it is not made from the funds of a corporation, labor organization, or foreign national.

Signature

Date

Sign and date by hand when you mail the form.

Wisconsin law requires us to report each contributor's name and address, and occupation and employer once your contributions exceed $200 in a calendar year (we ask everyone so our records are complete). Individual contributions are limited to $6,000 for the campaign period; anonymous contributions are limited to $10. Please don't send cash, but if you must, Wisconsin caps cash contributions at $100, use a check for anything more so there is a record. Contributions are not tax deductible. Questions: info@ordman.org · (608) 708-5225.

Paid for by Ordman for Sheriff