Re-election Fundraiser

Corona City Councilman

Stan Skipworth

Wednesday, July 14, 2010

5:30 p.m. - 8:00 p.m.

Taps Fish House and Brewery

2745 Lakeshore Drive

Corona, CA 92883

$99 Per Person

   Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations at $99 per person.

Guest Names:  

Election law requires the following information:

Name:

Address:

City:

State:

ZIP:

Phone:

FAX:

E-mail:

Employer:

Occupation:

NOTES:

You may press the send button and it will be automatically emailed to us or print this page and fax back to 951-686-1998

Please make checks payable to:

Stan Skipworth for City Council 2010

3711 A. Arlington Ave.

Riverside, CA 92506

I.D.#1283508

Not printed or distributed at government expense.

Corporate and personal checks accepted.