Timur Edib

An Incr-EDIB-le Leader
An Incr-EDIB-le Choice

Committee to Elect Timur Edib

Name________________________________ Phone_______________________________

Address___________________________________________________________________

E-mail__________________________________________

Occupation/Employer  _______________________________________________________

I confirm by signing the attached check that I am an American (or Lawful Permanent Resident), and that this is my own contribution.

Please make checks payable to: Committee to Elect Timur Edib

Mail to: 200A Monroe St, Ste 115, Rockville, MD 20850

______$20 _____ $50 _____ $100 ­_____ $250 _____ $500 _____ $1000

______ Other Monetary Amount $_________ (The Maximum per campaign cycle is $6,000)

______ Other In-Kind Donation of Services or Supplies $__________ (Fair Market Value)

Yes, I want to help with Timur’s incr-EDIB-le campaign!

_____ Host a Fundraiser _____ Be a Volunteer _____ Host a Yard Sign

_____ Use my name as an endorsement

By Authority: Committee to Elect Timur Edib, Raj Singh, Treasurer