I/We, the undersigned, endorse Edwin J. Pole II, the Libertarian Party Nominee for Secretary of State of Oregon for the election of November, 2000. I wish my name to be added to the Committee to Elect Ed Pole. I authorize my name to be used on political material including, but not limited to, advertisements, handouts, web sites, mailings, and pamphlets. I also authorize my name to be used as a reference to other prospective members of the Committee and potential voters.

I understand that, if I make a contribution to the Committee, personal information including my name, address, and occupation or employer will be provided in required reports to the Secretary of State of Oregon. However, only my name may be used in political material or as a reference.

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