FORM FRT
Professional Campaign Fundraiser
NOTICE OF TERMINATION
NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION
P.O. Box 185, Trenton, NJ 08625-0185
Phone: (609) 292-8700
Website: www.elec.nj.gov
Name of Professional Campaign Fundraiser
Registration #
Business Name
Business Address (Number & Street)
Business Address (City, State & Zip Code)
Day Telephone*
Evening Telephone*
Professional Campaign Fundraiser Notice of Termination
Notice 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 Number
PIN
Signature of Professional Campaign Fundraiser
Date
Effective 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 Commission
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Form FRT Revised: Jan. 2023
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