Name(s): _________________________________________________________

Address: _________________________________________________________

               _________________________________________________________

Phone:     _______________  Fax: _______________  E-mail: ________________

Occupation & Employer (only required if making a contribution): ________________

_________________________________________________________________

Yes, James! I/we can help the campaign by:

_____ Allowing my/our name(s) to be used as (an) endorsement(s).

_____ Displaying a yard sign.

_____ Distributing campaign literature to friends and neighbors in Calabasas.

_____ Hosting/co-hosting a neighborhood "meet and greet" reception.

_____ Letting my/our family and friends in Calabasas know that I/we support your re-election.

_____ Volunteering to work on the campaign.

_____ Making a financial contribution to the campaign. [Make check payable to "Bozajian Campaign Committee" and send it to our mailing address below.]

_____ Other: ______________________________________________________

Note: The information you provide on this form will only be used by our campaign and will not be distributed to any other political or commercial entity.