Business Contribution

Contributions are not deductible for federal income tax purposes. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle. Personal information (aside from credit card and similar information) collected in connection with political donations becomes public record. Contributions are non-refundable.

* denotes required information.
First Name *
Last Name *
Street 1 *
Street 2
City *
State
Zip *
Phone
Email
Employer *
Occupation *
 
I am a United States citizen or a permanent resident alien.
 
This contribution is made in the name of a business, NOT myself.
 
Name of Company Donating *
Description of Company Activity *
 
  All donations are in U.S. Dollars
Amount US$25
US$50
US$100
US$250
US$500
US$