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Vote for Vernon's Best Pizza!

Thursday, September 25 | 6PM

$30 per person

Where? Vernon Republicans HQ | 435 Hartford Turnpike; Unit W, Vernon, CT

Meet your local candidates while sampling an assortment of Vernon pizzas!

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    Your contribution will benefit Vernon Republican Town Committee.
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    Vernon Republican Town Committee
    CT
    Campaign finance law requires us to collect your employment information.

    Age (Please see restrictions regarding Contributions from Minors)*

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    Are you an elected public official?*

    Are you a principal of a state contractor or prospective state contractor? If yes, please indicate which branch or branches of government the contract(s) is with:*

    Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services?*

    Residential Address (If different from Billing Address provided (NO PO BOXES); write SAME if no change)*

    Employer: If multiple employers and one is a state contractor, list the state contractor. If self-employed, provide Name of Business. (Example: Dave's Painting. Other Examples: Retired, Unemployed, Student, Homemaker)

    Principal Occupation: If self-employed, provide Job Description. (Example: Painter. Other Examples: Retired, Unemployed, Student, Homemaker)

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    Age (Please see restrictions regarding Contributions from Minors)*

    Are you a communicator lobbyist or the spouse or dependent child of a lobbyist?*

    Are you an elected public official?*

    Are you a principal of a state contractor or prospective state contractor? If yes, please indicate which branch or branches of government the contract(s) is with:*

    Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services?*

    Residential Address (If different from Billing Address provided (NO PO BOXES); write SAME if no change)*

    Campaign finance law requires us to collect your employment information.

    Employer: If multiple employers and one is a state contractor, list the state contractor. If self-employed, provide Name of Business. (Example: Dave's Painting. Other Examples: Retired, Unemployed, Student, Homemaker)

    Principal Occupation: If self-employed, provide Job Description. (Example: Painter. Other Examples: Retired, Unemployed, Student, Homemaker)

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