Democratic Party of Wisconsin 8th CD
General Donation to 8th CD Dem Party $________ Northern County Information Group (NCIG) $_______
Tri County Influence Campaign (TIC) $_______ Other (describe) ____________________________________ $_______
First Name _______________________________________________ Last Name _____________________________________
Address ____________________________________________________ City ___________________ State ____ Zip ________
Occupation _______________________________ Retired ____ Unemployed _____
Make Check Payable to ‘Dem 8th Congressional District’.
Please put note in memo area of check if General, NCIG, TIC or Other.