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Your Name
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Street Address
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City
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State
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Zip
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Phone Number
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Email
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Occupation
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Name of Employer
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Donation Amount
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- I am not a foreign national who lacks permanent residence in the United States.
- I am not a Federal government contractor.
- This contribution is made from my own funds, and not those of another.
- This contribution is not made from the funds of a corporation or labor organization.
- This contribution is made on a personal credit card or debit card for which I have
the legal obligation to pay, and is not made either on a corporate or business
entity card or on the card of another person.
- I am at least eighteen years old.
Federal law requires us to use our best efforts to collect and report the name,
address, occupation and name of employer of individuals whose contributions
exceed $200 per election cycle.
We may accept contributions from an individual totaling up to $2,400.00 per election.
By clicking the Donate button, I confirm that the above statements are true and accurate.
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