Terms & Conditions
PAC contributions are not tax deductible. No refunds are available.
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*First Name:
*Last Name:
*Occupation:
*Address Line 1:
Address Line 2:
*City
*Country:
*State/Province:
*Zip/Postal
*Email Address:
Payment Method: Check or Credit Card
Credit Card
Check
*Name on Bank Account
*Bank Routing Number
*Bank Account Number *Re-Type Bank Account Number
CardNumber
Expiration Date
Credit Card Security Value
01
02
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2023
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2025
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2029
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Payment Date:
03/29/2023
*Payment Amount: $
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Donations to the PAC are voluntary political contributions and are not deductible for federal income tax purposes.