I would like to contribute to Ray's campaign.

Please print out this form, complete the following information, and mail with your check to the address below.

Enclosed is my contribution of $ _____________

Make your check payable to: Ray Powell for Land Commissioner 

Please complete the following information:

First Name :  _______________________________

Last Name :  _______________________________

Organization :  ______________________________

Occupation:________________________________

Address : _________________________________

City: State: Zip Code:  ________________________

Home Phone : ___________     Work Phone: ______________

Email : ___________________________________

Mail to:
Ray Powell for Land Commissioner
PO Box 27654
Albuquerque, NM  87125