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                                                          126 BENNETT STREET, STATEN ISLAND, NY 10302