Contribution Amount

• 
  $25
• 
  $50
• 
  $100
• 
  $250

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

• 
  $

Legal Compliance

I affirm that the following statements are true and accurate:

1) This contribution is made from my own funds with a personal credit card, and not with a corporate credit card or funds provided to me by another person.

2) I am not a federal government contractor, nor am I a foreign national who lacks permanent resident status in the United States.

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 a calendar year.