TWW Form

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Hello ShortCode World!

PLEASE NOTE:
- ALL REQUIRED flields have "*" next to them.
- If you forget a required flield the form will NOT submit.
- KEY:
  - = Missing required information
  - = Invalid format

Contact Information *Employment Information:
Clean Elections law requires us to collect your name, address, occupation and employer. *First: *Last: *Street: *City: *State: *Zip Code: *Email: Phone:

*Employment Information

Employed

If you have an employer please include your Occupation/Profession and company name below.
*Occ/Prof: *Company:

Self-employed

If you are self-employed please include the
name of your position and the name of your company or entity below.
*Position: *Company:

Retired Homemaker

*Required Fields

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To Contact Us

John Hartley
Coordinator
619-299-8870

•••

Mailing Address:

Neighborhoods for
Clean Elections
P.O. Box 16066
San Diego, CA
92176

How do Clean Elections work?

Requirements for those who wish to run as Clean Elections candidates.
They must:
1) Collect a large number of small, $5,
contributions from their district to qualify.
2) Agree to a voluntary spending limit.
3) Agree to take no contributions from private donors.
4) Agree to spend no personal funds on their campaign.
•••