Contribution Amount

• 
  $25
• 
  $50
• 
  $100
• 
  $250

• 
  $500
• 
  $1,000
• 
  $2,400
• 
  $

Legal Compliance

I affirm that the following statements are true and accurate:

1. I am a United States Citizen or a permanent resident alien. 2. This contribution is not made from the funds of a corporation, labor organization, or national bank. 3. This contribution is not made from the funds of an entity or the legal signatory of an entity participating in an RFP or RFQ for a "high risk" discretionary county contract. 4. The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution. 5. I am 18 years year old or older.