Employer Information
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.
Contributions are not tax deductible.
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Contribution Rules:
In making this contribution, I agree that this is made from my own funds, and not those of another.
This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
I am not a foreign national who lacks permanent resident status in the United States.
This contribution is not made from the treasury of an entity or person who is a federal contractor (does not apply to personal contributions by subcontractors, employees, partners, shareholders or officers of federal contractors).
This contribution is made on a personal credit or debit card for which I have legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.
I am at least 18 years old.
I confirm that the above statements are true and accurate.