Contribute
Online Payment Available Soon.
To contribute by check or money order, please follow these instructions:
Friends of Stephen Levin
Contribution Card
□ Cash □ Money Order □ Check
In the amount of $ __________________________
Checks are payable to Friends of Stephen Levin.
Mail to:
Friends of Stephen Levin, c/o Matt Trapasso
256 DeKalb Ave, Apt. #4
Brooklyn, NY 11205
In order to comply with Campaign Finance Board requirements, please provide the following:
Name: ____________________________________________
Home Address: ____________________________________
City/State/Zip: _____________________________________
Occupation: _______________________________________
Employer’s Address: _______________________________
City/State/Zip: _____________________________________
I understand that state law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan.
Contributor’s Signature: ____________________________
Date:_____________________________________________