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Unfortunately, it takes money to run for elective office. While no one likes to ask for money, we would appreciate a contribution of whatever you feel you can afford to assist us in our campaign.
 
To avoid the costs of on line donations, we're asking you to print out this page using the Print function on your Browser. Or click here for a pdf form. 

Enter the information and forward it with your contribution to the address below.  

        
         Name: ___________________________________________

        Address:  _________________________________________

        City: __________________________  State:  ______  ZIP:  __________

        Phone: (Home)  _____________________  (Work)  ___________________

        * Employer/Occupation (or firm) _____________________________       

         * Self employed:  Yes: _____  No:  _____

        * (State Law requires contributors to note their place of employment.)

Please make checks payable to "Ken Cloutier for Council" and mail to:

                                                                Cloutier for Council
                                                               7 Giblin Lane
                                                                Coventry, RI 02816

RI State Law prohibits the acceptance of any corporate or business checks for campaign contributors. Only personal and PAC checks are an acceptable form of contribution.