Contribution Amount

• 
  $25
• 
  $50
• 
  $100
• 
  $250

• 
  $500
• 
  $1,000
• 
  $2,500
• 
  $5,000

• 
  $10,000
• 
  $

Legal Compliance

I affirm that the following statements are true and accurate:

1. I am a United States citizen or an individual lawfully admitted with permanent residence stats (e.g., a "green card holder").
2. I am not a federal government contractor.
3. This contribution is made from my own personal funds and is not made from the general treasury funds of a corporation, labor organization, or national bank.
4. This contribution is made on a personal credit card and not a corporate credit card or the credit card of another person.*

- or -

1. The organization making this contribution is incorporated in the United States.
2. The organization making this contribution is not a federal government contractor.
3. This contribution may only be used for Independent Expenditure purposes and not contributions to candidates.