***If donating via personal check please print out this form and send with donation.***
Contributions or gifts to Wolf PAC are not tax deductible for federal income tax purposes.
Wolf PAC may accept unlimited contributions from individuals and corporations.
Please make checks payable to “Wolf Pac”. Mail to
3555 Hayden Avenue, Culver City, CA 90232
Name of Donor: _________________________________________
Home Address: ___________________________________________
Date: ____________________ Check Number: ________________
Amount of Contribution: ____________
Name of Employer: _________________ Occupation: _________________________
Please check if Self Employed: ___
Contact Number: _________________________
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and employer of individuals whose contributions exceed $200 in a calendar year.
For Internal Use Only:
Location: ________________Date Processed: _______________ Initials: ______