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Re-elect Kevin Wilk for Walnut Creek City Council

Use this form to endorse, volunteer, take a yard sign and make a donation. Please note: The maximum contribution per individual donor is $230 for 2024 ($460 for couple). If you prefer to make a contribution by check, please print and fill out this page and send it with a check, payable to Elect Kevin Wilk Campaign, 2805 Encina Camino, Walnut Creek, CA 94598.

First Name(s): *

Last Name: *

Address: *

City: *

State: *

Zip: *

Phone: *

Email address: *

I/we live in Rossmoor. *

Yes

Please email me updates

Endorsement

You may use my name/our names as endorsers on communications materials. (For two endorsers, please be sure to list both names above.) *

Yes

Volunteer

Yes, I/we would like to help.

Display yard sign	Write a letter to the editor
Send postcards or emails to friends	Walk neighborhoods

I'm willing to walk in these neighborhoods:

Buena Vista / Larkey	Northgate / Ygnacio Valley
Parkmead / Tice Valley	Rudgear / Livorna
Walnut Heights / Indian Valley	Any

Donate

I would like to donate to the Elect Kevin Wilk Campaign (Please note: Political contributions are not tax deductible.) *

Yes

Donation Amount (The maximum contribution per individual is $230.). *

$230

Other

Other amount *

Occupation / Retired: *

Employer: *

Occupation/employer information required for each individual for contributions of $25 or more. If applicable, use "retired," "homemaker," "student," or "not employed." Under State law, you must include the employer name and occupation for each contributor.

I/we would like to make a donation to the Elect Kevin Wilk Campaign on behalf of another individual. *

Yes

First Name: *