FORM FRTProfessional Campaign FundraiserNOTICE OF TERMINATIONNEW JERSEY ELECTION LAW ENFORCEMENT COMMISSIONP.O. Box 185, Trenton, NJ 08625-0185(609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532)www.elec.nj.govName of Professional Campaign FundraiserRegistration #Business NameBusiness Address (Number & Street)Business Address (City, State & Zip Code)Day Telephone*Evening Telephone*Professional Campaign Fundraiser Notice of TerminationNotice is hereby given that my services as a Professional Campaign Fundraiser in the State of New Jersey are terminated and I am no longer employed, retained, or engaged to perform any service directly related to the solicitation of contributions for a candidate or committee pursuant to N.J.S.A. 19:44A-19.2.Registration NumberPINSignature of Professional Campaign FundraiserDateEffective Date of Termination*Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.New Jersey Election Law Enforcement CommissionPage 1 of 1Form FRT Revised: Jun. 2021
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