Separate voting for parties and candidates survey - www.Hundred Dollar Party.org

*Name:__________________________________registered as_________________
*Mailing address:_____________________________________________________
*Occupation______________ *Employer_________________Contribution $_____

*Required information if survey is sent with contribution
Did you vote in the 2004 election? ___ yes ___ no
For current major party candidates?___ yes ___ no

If you could vote for current major party candidates in the current election while casting separate vote to establish a third party for the next election, would you vote to establish a third party to increase your options for the next election ? ___ yes ___ no

Do you think other voters should be able to cast a separate vote to establish a third party for the next election? ___ yes ___ no

Send completed survey to: Hundred Dollar Party, PMB # 111, 1465 Route 23 South, Wayne, NJ 07470

  What you can do to secure the right to cast separate votes for parties and candidates

  1. Make several copies of this survey for friends, family, etc. Ask them to do the same.

  2. Write to newspapers, magazines, talk radio and TV newschat programs demanding coverage
    of this issue ( or use political contribution vouchers ).
  3. Make a contribution of 100 dollars or less to the Hundred Dollar Party. The first goal of the Hundred Dollar Party is to secure the right to cast separate votes for parties and candidates If requested, 100 % of your contribution will be used for the legal costs incurred by the Hundred Dollar Party for a constitutional challenge of the law that prevents separate voting for parties and candidates. AND/OR

Make a contribution to whatever political party or candidate you support with a letter or political contribution voucher urging the party or candidate to support separate voting for parties and candidates. AND/OR

Make a 25 dollar contribution to several third parties with a letter or political contribution voucher urging the parties to support separate voting for parties and candidates. These parties will send you requests for more money, along with information about their party. Money can buy information as well as influence. AND/OR

Use political contribution vouchers to get parties and candidates to support separate voting for parties and candidates before sending contributions.

Make Check Payable to: Hundred Dollar Party National Committee

Mail to: Hundred Dollar Party, PMB # 111, 1465 Route 23 South, Wayne, NJ 07470

Federal law requires political committees to report and use their best effort to collect the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of two hundred dollars in a calendar year. 104.7 (a)(1). 104.7 (b)(1). Contributions will be used in connection with federal elections and are subject to the limits and prohibitions of the Federal Election Campaign Act 102.5(a)(2)(ii)and(iii) Section 6113 of the Internal Revenue Code requires political committees whose gross annual receipts normally exceed $100,000 to include a special notice on solicitations informing solicitees that their contributions are not tax deductible.