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Donate to Dave R 123

http://www.daver123.com

We are accepting contributions for the Re-election campaign for State representative David Rutigliano of Trumbull. Contributions from $5 to $100 can be accepted under CT SEEC campaign finance rules. Your support means alot and helps us reach our goal of bringing common sense and change to Hartford!! Thank You for Your Support!!

IF YOU PREFER TO DONATE BY FAX OR MAIL, PLEASE DOWNLOAD THE FORM HERE » »

Contribution Amount

$25
$50
$75
$100 - The Max!!
$15
$

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 hereby certify that all of the information disclosed by me and set forth above on this contributor card is true and accurate to the best of my knowledge and belief. I certify that I am NOT a principal of a state contractor or prospective state contractor (See Definition of Terms if you are uncertain of these terms). I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States. I am 18 years of age or older. I certify that this contribution is made on my personal credit card for which I have a legal obligation to pay and intend to pay from my own personal funds; payment on this card is not made from the funds of a corporation, labor organization or any other entity.

Please Note: Under Public Act 2010-01, participating candidates may accept qualifying contributions from individuals who are communicator lobbyists or their immediate family members. Disclosure of lobbyist status remains a legal requirement pursuant to General Statutes § 9-608 (c) (1) (I).

The Campaign requests that the contributor complete the entire certification form.Participating candidates may not accept contributions from an individual who is a principal of a state contractor or prospective state contractor or from a minor who is under 12 years of age. Under Public Act 2010-01, participating candidates may accept qualifying contributions from individuals who are communicator lobbyists or their immediate family members but only during periods when the State Legislature is not in session. Disclosure of lobbyist status remains a legal requirement pursuant to General Statutes § 9-608 (c) (1) (H). For further information and definitions, please read this page.

Paid For By Dave R 123, Annie Puskar treasurer, approved by David Rutigliano

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