To make a donation by mail, simply print this page, fill out the required information, and mail it with your check to Friends of Mark Miller, 4903 Roigan Terrace, Monona, WI 53716.

Yes! I want to help elect Mark Miller to the State Senate! 

Enclosed is my contribution of $ 1,000 ___ $ 500 ___ $100 ___ Other $ ________ (Please make checks payable to: Friends of Mark Miller.)

                 Name ___________________________________________________

                 Address: _________________________________________________

                 City: _________________________ State: ______ Zip _____________

                 Daytime Phone: _________________________   Evening Phone: ___________________________

                 Email: __________________________________________
                  *The campaign respects your privacy:  We use email for campaign purposes only and will not share your email address.

                For annual contributions over $100, state law requires the following information:

                Occupation: __________________________ Employer: ___________________________________
             

      Full Employer Address:______________________________________________________________
 

Volunteer!  The difference between success and defeat is the dedication of our volunteers.  Let us know if you are interested in volunteering for the campaign.

  • I’ll help with literature drops

  • I'll host a coffee or fundraiser

  • I'll help make calls

  • I'll do data entry and other office work

  • Other:_______________________________________________________

Please let us know what special skills or interests you would like to volunteer to the campaign. 

Want a yard sign?  Check here!  _____  (Yard signs will be delivered later in the summer.)