Corporate

First Name

Last Name

Country

Address

City

Postal code

Email

Phone

Send email updates

Employer

Occupation

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

This is a contribution from a business.

Contributions are not tax deductible.

Amount

$80.00

Your credit card will be billed automatically every month

Contribution rules 1) Contributions are not tax deductible. 2) An individual may give up to a maximum of $1,600 per election to a local candidate or the candidate's campaign committee. 3) Companies may give up to a maximum of $1,000 per calendar year. I confirm that the above statements are true and accurate.