LEAP Initial Application - Education Minnesota

INITIAL APPLICATION: Intent to File a Reimbursement Application
Local Election Reimbursement
Education Minnesota PAC

"*" indicates required fields

President*

First Last

Local*

Home phone*

Work phone*

Preferred address*

Street Address Address Line 2 City State ZIP

Email address*

Fax*

Type of election*

School board election

Operating referendum

Bond referendum

Capital referendum

Date of election*