* required field
(i.e. Mr. Ms. Mrs, Dr., etc)
(i.e. Jr. Sr. III, MD, etc)
Contributions are not deductible for federal income tax purposes.  Donations by corporations, labor organizations, a foreign national who lacks permanent resident status, and federal government contractors are prohibited.  Federal Law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer for each individual whose  contributions exceed $200 in a calendar year.  The maximum donation allowed is $2500 per individual per election cycle (ie Primary, Runoff, General election).  All contributions must be made from personal funds and may not be reimbursed by any other person.  This contribution represents my personal funds and is not drawn on an account maintained by an incorporated entity.
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