Contribution Amount

• 
  $25
• 
  $50
• 
  $100
• 
  $250

• 
  $500
• 
  $1,000
• 
  $2,400
• 
  $5,000

• 
  $10,000
• 
  $

Legal Compliance

I affirm that the following statements are true and accurate:

1.  I am a United States Citizen or lawfully-admitted permanent resident (a "Green Card holder").  I am not a foreign national, and I am not using the funds of any foreign corporation or other business entity to make this contribution.

2.  I am at least 18 years old.

3.  I am not a party to any contract with the federal government or a federal government agency.

4.  I am making this contribution using a debit/credit card which I -- or, for corporate and other business entity contributions, my company -- has the legal obligation to fund/repay.

5.  No one has provided me with funds for the purpose of making this contribution, and no one will reimburse me for it.