• This contribution is made from my own funds, and not those of another.
• I am not a foreign national who lacks permanent resident status in the United States.
• I am at least 18 years of age.
• I have not contributed more than $500.00 (including this contribution) to this campaign.

Mail contributions to Stacy Glick's Campaign to:

RONYE KREINER, CAMPAIGN TREASURER
14244 SOUTHWEST 96th TERRACE
MIAMI, FLORIDA 33186

Please make check payable to:

STACY DARYL GLICK CAMPAIGN ACCOUNT


• Maximum contribution is $500.00 per Individual or Company
• Each Member of a Household may contribute a maximum
of $500.00