Senator Leonidas Raptakis

Thank you for your interest in supporting my efforts in your behalf.

Please provide the information requested below as Rhode Island State Law requires the following information be provided with all contributions.

Again, thank you.

Leonidas “Lou” Raptakis

        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 Committee to Elect Lou Raptakis and mail to: 

                                    Committee to Elect Lou Raptakis
                                    2080 Nooseneck Hill Rd.
                                    Coventry, RI 02816 

        RI State Law prohibits the acceptance of any corporate or business checks for campaign
        contributions.

        Only personal and PAC checks are an acceptable form of contribution.