Arizona Tax Revolt Mail in Form
Please Print, Complete and Postal Mail to:

Arizona Tax Revolt
P.O. Box 83
Bullhead City, AZ 86430-0083

Your donation will make a difference!
Donations can be in any amount and should be made payable to: Arizona Tax Revolt

 

Checks only, Please:
Amount Donated: $_________.____($30 or more gets an Arizona Tax Revolt T-Shirt or Hat FREE, while supplies last)
Select desired T-Shirt Size: Medium _____, Large ____, XLarge ____, XXLarge ____
I prefer a Hat(one size fits all) _______
Name:
Address:
City/Town:
State :
Postal or ZIP code:
Occupation:
Employer:
email:___________________________________________(Optional)
Phone Number: (_______) ________--______________(Optional)
 

Payments given to this organization are not deductible as charitable contributions for federal income tax purposes.

Paid for by:
Arizona Tax Revolt in support of C-13-2008 (the LEVY Rollback) and
Arizona Tax Revolt in support of C-14-2008 (the VALUATION Rollback)
E-Mail: Chairman@arizonataxrevolt.org

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