ENDORSEMENT FORM

JOHN SHIKE
FOR
STATE REPRESENTATIVE DISTRICT 131
9898 BISSONNET SUITE 150
HOUSTON, TEXAS 77036
PH: (832)741-0564
FAX: (832) 203-4513
e-mail:waatv@yahoo.com

(Please print this page out then fill in the following information)

.

AUHTORIZATION FOR ENDORSEMENT

I, hereby, authorize John Shike a Candidate for State Representative District 133 to use my name in his on going election campaign for endorsement.

Subject

Your Name (required)

Address (required)

City (required)

Zip Code (required)

Home Phone (required)

Work Phone (required)

Cell Phone (required)

Signature (required)

Signed On THe (required)

Day of (required)

In The City off (required)

County off (required)

State off (required)