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Personal Contribution Information
(Maximum contribution is $500 personally and $500 additionally through your business.)For Business Contribution Click Here
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Title/Salutation:*
First Name:*
Last Name:*
Address 1:*
Address 2:
City:*
State:*
Zip:*
Employer:
Occupation:*
Email:*
Phone:

Select Contribution Type: Recurring   One time


Recurring Contribution
Please specify an amount (maximum $500)
$     Daily   Weekly   Monthly


Enter the time frame of the recurrence: 
You will be transferred to PayPal to process your contribution.

 

All contributions are subject to the prohibitions and limitations of the Federal Election Campaign Act. That law prohibits contributions from corporations,labor unions, and foreign nationals who are not admitted for permanent residence. All contributions must be made from personal funds and may not be reimbursed by any other person. Contributions are not tax deductible for federal income tax purposes.
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