by: (check one or all, please)
o Walking my precinct.
o Telephoning.
o Working on Campaign material.
o Displaying a sign at home/business.
o Hosting a meeting at my house for my neighbors.
o Writing a letter to the editor.
o Other _______________________
o Endorsing Zermeño for Hayward City Council.
(You may use my name publicly)

(Signature): _____________________________________

o Making a contribution to Francisco Zermeño's campaign
with a check payable to
Committee Zermeño for Hayward City Council
(Note: Contributions are not tax deductible)
for:
o $1,100 o $500 o $250 o $100
o $50 o $25 o $10 o $5

Name (print): ___________________________________________

Home Address: _________________________________________

City, State, Zip: _________________________________________

E-mail: ________________________________________

Phone: _________________________________________

*Profession: ____________________________________

*Employer: ______________________________________
(*State law requires this information. Contributions are not tax-deductible.)

Please print it out, fill it in, and mail to

Contact me  

 © jfcz05/iii/08