Crime Victims United Contributor Form

Yes, I would like to support Crime Victims United in its work for justice for victims and safety for all law-abiding citizens.

Name:*       ___________________________________________________
Address:*    ___________________________________________________
             ___________________________________________________
             ___________________________________________________
Occupation:* ___________________________________________________
Amount:*     ___________________________________________________
Phone:       _____________________________________________ (optional)
Email:       _____________________________________________ (optional)

Please send this form with your check (payable to Crime Victims United) to:

Crime Victims United
P.O. Box 1896
Lake Oswego, OR 97035

* Oregon law requires that Crime Victims United PAC report this information to the Secretary of State.

Contributions to Crime Victims United PAC are not tax-deductible as charitable contributions.


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