Your contribution of  $5.00, $10.00, $20.00, $100.00 or more will pave the way to a victory for the people of Deerfield Beach!

Please print and complete the form below and mail it with your check to:
(Highlight the form and press control/P
choose "print selection")

Richard Rosenzweig Campaign
97 Farnham E
Deerfield Beach, FL  33442

(954) 426-1960


Malcolm Butters, Builder, Real Estate

Cherryl Ann Cook, MCDougald Grandchild and Docent, Sample-McDougald House

Ed Dietrich, Jr., Deerfield Beach Pioneer

Amie Kay Tanner, Deerfield Beach Pioneer and Deerfield Beach Historian

Bett Willett, Civic Activist and Community Leader

Pam Militello, Civic Activist, Community Leader

Dolphin Democrats

The Hispanic Vote endorsement


Richard, yes I want to help you win for all of us. Enclosed is my contribution of $ ______

First Name/Last Name:___________________________________

Address:              ________________________________________

City/State/Zip Code:    ____________________________________

Phone: (        ) _______________    Fax: (      ) _________________

Email:                  ________________________________________

Occupation:          ________________________________________ 

Employer's Name:   _______________________________________

Employer's Address: _______________________________________


I would like to volunteer for your campaign.   Yes ___     No  ____

I would like a campaign yard sign.                   Yes ___  No  ____

Please mail to:

Richard Rosenzweig Campaign
97 Farnham E
Deerfield Beach, FL  33443

You may contribute up to $500.00 and spouses or domestic partners may each contribute $500.00. Separate legal entities such as businesses and their owners, parent companies, subsidiaries, etc. may each contribute $500.00 Your check cannot be deposited without your name and address. If your contribution is $100.00 or more, we require your occupation and employer. We cannot accept cash, money orders or cashiers checks of more than $50.00 from any contributor. Contributions are not tax deductible.