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Jay White for NC

Contribution Amount

$25
$50
$100
$250

$500
$1,000
$2,400
$

Personal Information

First NameRequired
Last NameRequired
EmailRequired
Home AddressRequired
Home Address (line 2)
CityRequired
StateRequired
Zip/PostalRequired
Phone NumberRequired

Employment Information

EmployerRequired
OccupationRequired

Payment Information

Debit/Credit Card

Card Number
CSC ?
Expiration

Routing Number
Account Number

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:

These are personal funds and are not corporate contributions.

I want to publish my name to the Jay White for NC giving stream! (Note: your contribution amount will not be shown)

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Contributions or gifts to Jay White for NC are not deductible as charitable contributions for income tax purposes. Funds received in response to this solicitation will be subject to North Carolina contribution limits. Contributions from corporations and foreign nationals are prohibited. North Carolina election law requires us to obtain and report the name, mailing address, occupation, and name of employer of individuals whose contributions aggregate in excess of $50.

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