Brooke Lierman for Delegate

Contact Information
Employer Information

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If you are self-employed, please list the name of the entity that is on your paycheck. Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead.

We respectfully request that Partners of Partnerships and Members of LLC's contribute individually, instead of through their respective business entity.

Ticket & Guest Information
Ticket Level Pricing Set Default Value
D46 Residents Free
Friend of Brooke $46.00
Host $146.00
Sponsor $250.00
To make an additional contribution please enter amount here
TOTAL: $0 QTY: $0
Guest Names Ticket Level

This event is free to all, but any contribution is welcome! Thank you!

Payment Information
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