PRINT AND MAIL DONATION FORM Yes, I wish to donate $ ____ to the Democratic Committee of Richmond County. Name __________________________________________  Phone __________________ Address _________________________________________________________________ Email Address ___________________________________________________________ Employer ________________________________ Work Phone ____________________ Work Address ___________________________________________________________ ________________________                     _______________ Signature                                              Date PLEASE MAKE CHECK PAYABLE TO: DEMOCRATIC COMMITTEE OF RICHMOND COUNTY PLEASE MAIL TO:                              Democratic Committee of Richmond County                                                          35 New Dorp Plaza, Staten Island, NY 10306