2. Broward County Code of Ethics Disclosure Form
4. Miramar Elected Official
6. Campaign Fundraising for Other Candidates
8. Name of candidate for which you are soliciting campaign contributions:
10. Location and date of any and all associated campaign events:
12. Name(s) and contribution amount(s) of any individual(s) who provided contributions to you, either directly or indirectly, for delivery to the candidate:
14. Name of Contributor
15. Amount Contributed
29. Elected Official
31. Acknowledgement of Receipt
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34. 1. Receive an email copy of this form.
35. Email address

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36. Submit

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