Donate by Check

Donation Form – Pay by Check

If you wish to pay by check, simply print this form and mail it to:

Committee to Elect Vinnie Bacon

4388 Lorren Dr.

Fremont, CA 94536

Make checks payable to “Bacon for Fremont City Council 2016”.

Election laws require that donations over $100 require employer and occupation information.

Local election law limits donations to $600 per person.


First Name*:
Last Name*:
Address*:
City*:
State*:
Zip Code*:
Phone Number :
Email Address*:
Employer**:
Occupation**:
Donation Amount*:

* Required
** Required if donation is $100 or greater.