First Name *

Last Name

Email Address *

In order to make an offline donation we ask that you please follow these instructions:

1. Make a check payable to “Shelly for Supervisor”
2. On the memo line of the check, please indicate that the donation is for “Shelly for Supervisor”
3. Please mail your check to:

Shelly for Supervisor
609 W 3rd Street
Muscatine, IA 52761

Thank you for your support.