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VICTORY 2018

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PLEASE USE BLANK AREA FOR ANY AMOUNT DONATION

Contribution Amount

$10 - DVD -Year of Trump Volusia
$25 - Donation
$50 - Donation
$25 - Donation
$50 - Donation
$100 - Donation
$250 - Donation
$500 - Donation
$1,000 - Donation
$

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 affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person.
• My contribution is made from personal funds, and not from the general treasury funds of a corporation, organization or national bank.
• I have not received any funds from another person or entity for the purposes of making this contribution.
• I am a United States citizen, or a Green Card Holder who has been lawfully admitted for permanent residence and this contribution will not be reimbursed by another person.

Donations are not deductible as charitable donations for federal income tax purposes. Florida law requires us to report the name, mailing address and occupation of individuals whose contributions exceed $100.

Paid for by Republican Executive Committee of Volusia County, PO Box 9096, Daytona Beach, Fl 32120, and not authorized by any candidate or candidate's committee.

Contributions or gifts to RECVC are not tax deductible. Unless otherwise prohibited by applicable law or as specifically directed by the donor, all contributions will be deposited into the RECVC federal account. Such other contributions will be handled in accordance with applicable law.

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VICTORY 2018

Contribution Amount

Personal Information

Employment Information

Payment Information

Billing Information

Legal Compliance

Piryx - The Social Giving Platform