Contribution Amount

• 
  $25
• 
  $50
• 
  $100
• 
  $250

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

Legal Compliance

I affirm that the following statements are true and accurate:

I am U.S. citizen or a legal permanent resident in the United States. This contribution is made from my own funds, and not those of another person. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank. I am not a federal contractor. This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person. I am at least 18 years old.