for State Legislature
Thanks for your support.
I look forward to serving you
and the State of Montana.

Printable Donation Form -- Please fill out and mail to:
Wheeler for Legislature District Six
1110 Bald Rock Road Kalispell, MT 59901

I want to help Scott represent Montanans by:

Contributing: $260 (couple) _______ $130 (indiv.)_________
$100 ________ $75________ $50_______ $25____________ $______

Please contribute in any way you can!
Making phone calls ______
Helping with mailings______ Putting up signs in my area _____

Writing a letter to the editor ______ Making door-to-door calls ________

Helping with literature distribution ______ Hosting a fundraising event ______ Another way ______

Name: _________________________________________
Address: _______________________________________
Day phone: _____________ Eve. Phone: ______________
E-mail: _________________________________________
Occupation: _____________________________________
Employer: _______________________________________
(State law requires the name, address, occupation and employer of each contributor)

Please make checks payable to: Wheeler for State Representative ($130 per person maximum)
Wheeler for State Legislature Committee, Frank DeKort, Treasurer (406) 471-3734