Jane Tolmach for Assembly

This document is a campaign support form for Jane Tolmach's 1976 candidacy for the California State Assembly. It allows supporters to authorize the use of their names in newspaper endorsements for both the June 8 primary and the November 2 general election. The form also collects contact information and asks whether individuals will help the campaign and/or donate money, and it includes committee contact details in Oxnard, California.