Contribute
Enter your credit card information on our secure form here to authorize a donation.
Please note: As our PAC is still getting completely set up, your donation may take a few days to process.
Personal Information
First Name*:
Last Name*:
E-mail:
Address*:
City*:
State*:
ZIP Code*:
Campaign finance law requires us to collect the following information:
Occupation*:
Employer*:
If you are self-employed, write the name of your business for "Employer."
If you are not employed currently, simply note that under "Occupation."
Payment Information
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Contribution Amount
I understand and agree to the following rules for federal contributions:
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I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder).
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This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.
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I am at least eighteen years old.
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I am not a federal contractor.
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I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person.
By clicking "Contribute" I authorize my card above to be charged for the amount selected
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