Contribution Form

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Personal Information
Employment
Federal law requires we report the name, mailing address, occupation, and name of employer for contributions of more than $200.00 per election cycle. If you are not employed, enter "none" in the Occupation and Employer fields.
EligibilityFederal law requires all online contributors to confirm that the following statements are true and accurate. If you cannot confirm each statement, you are not eligible to contribute.

1. This contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.

2. I am a United States citizen or a lawfully-admitted permanent resident.

3. I am making this contribution with my own personal funds, and I will not be reimbursed by anyone for this contribution.

4. I am not a federal government contractor.

5. I am at least 18 years of age.
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