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Employment Information

Campaign finance law requires us to collect your occupation, employer, and employer's address.
Occupation
Employer
Address (Number, Street, Apt.)
City
State
Zip
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Contribution Rules

  1. I am a United States citizen or a permanent resident alien.
  2. 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.
  3. 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
  4. I am at least eighteen years old.