Donations to the WLDTC

If you are interested in making a donation to the DTC, please:

1. print out this page
2. fill in the necessary information
3. mail it with your personal check to:

Windsor Locks Democratic Town Committee
c/o Joseph Doering

94 Paul Drive
Windsor Locks, CT 06096

**Personal Information (All information is required):**
Name:
Employer:
Occupation:
Home Street Address:
City, State, ZIP:
Daytime phone:
E-mail address (voluntary)
Lobbyist?	Yes	No
Spouse of Lobbyist	Yes	No
Dependent of Lobbyist?	Yes	No
Do you have a contract with the Town of Windsor Locks valued at more than $5,000?	Yes	No
Are you a director, officer, limited or general partner, or holder of 5% stock in a business which has a contract with the Town of Windsor Locks valued at more than $5,000?	Yes	No