• Amount 1
  • Your Info 2
  • Payment 3

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Employer Info

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.
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Contributions are not tax deductible for state or federal income tax purposes. • I am not a foreign national who lacks permanent residence in the United States. • This contribution is made from my own funds, and not those of another individual or business entity. • I am at least eighteen years old. All contributors of $100 or more are required to provide their occupation/employer, in addition to name and street address, which are required for all donors of $25 or more. Spouses and domestic partners may each contribute from a joint account but both must sign the check or credit card authorization form. Contributions must be made voluntarily from the donor’s own funds and may not be reimbursed by any other person or business. Paid for by Jim Wood for Assembly 2018. (FPPC I.D.# 1392333). 1787 Tribute Road, Suite K Sacramento, CA 95815. Refunds are available upon request within 30 days of when the contribution is made.
Contributions are not tax deductible.

Larrupin Dinner Payment Portal

Please note: you must receive a reservation confirmation email BEFORE using this page! To request a reservation, email info@jim-wood.com and indicate the number of tickets you are requesting.

Enter your ticket/sponsorship level and click the Continue button to complete your credit card transaction.

  • Sponsorships: 1,000.00 (includes 10 tickets), 500.00 (includes five tickets)
  • Individual Tickets: 100.00/each
  • (Or enter ticket count X 100 in "Other $")

Watch for emails from info@jim-wood.com with your donation receipt and a separate entree choice email. Please return your entree choices by Monday November 20th.

This event sells out quickly! Please let us know if you don't plan to use all of your sponsorship tickets or if you can't make it to the event so we may accommodate those on our waiting list.

Contact us at info@jim-wood.com with any questions.

If you prefer to pay by check, download the event remit form. Checks must be received no later than Monday November 20th.

Who's donating: from Klamath , CA donated. Thank you!

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