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Contribute to Riedel for Congress

http://www.RiedelforCongress.com

Important Info (Please Read): Federal law requires us to report the name and mailing address of each contributor. This information is used for reporting purposes only.

Federal law requires us to report the employer and occupation of each individual who makes contributions aggregating more than $200 per election cycle. Again, this information is used for reporting purposes only.

Each individual may contribute up to $2,600 for the primary election and another $2,600 for the general election, for a total of $5,200. Couples may contribute up to $10,400 in total, but must submit their contributions in separate transactions.

Contributions are not tax-deductible for federal income tax purposes.

Contribution Amount

$25
$50
$100
$250

$500
$1,000
$2,600
$

Payment Information

Debit/Credit Card

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

Legal Compliance

I affirm that the following statements are true and accurate:

I am at least 18 years old.
I am a U.S. citizen or have permanent residence status.
I am not a federal government contractor.
The funds of the contribution are from my own personal funds and are not being provided to me by another person or entity.
The funds of the contribution are from my own personal funds and are not from the treasury of a corporation or labor union.

If you would like to contribute by check, please print this form and send it to:

Riedel for Congress
115 Pebble Beach Lane
Williamsburg, VA 23185

Authorized and paid for by Riedel for Congress

This form is secured using 256-bit SSL encryption.

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