Friends of Jack Kingston

Norwood Plaza, 7360 Skidaway Road, Savannah, GA 31406 / PO Box 2133 Savannah, GA 31402

Phone: (912) 356-5200 / Fax: (912) 351-9900

Please print and complete this form and mail with your check to:

Friends of Jack Kingston, PO Box 2133, Savannah, GA 31402

Make your check payable to:  Friends of Jack Kingston

Name: _____________________________

Spouse: ____________________________

Home Address:  __________________________________________

City, State, Zip: _____________________________________

Home Phone: (_______)____________________

Email: ____________________

Occupation: __________________________

Employer: ________________________

The maximum legal contribution per election is $2300 per person. Couples may give $4600 from common funds, but please include two signatures on your check. Corporate checks and cash may NOT be accepted. Contributions to the Friends of Jack Kingston are not deductible as charitable contributions for federal income tax purposes.