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1. Amount

$

One-time Monthly

2. Your information

Email

First Name

Last Name

Country

Address

City

Postal code

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.

3. Payment information

Credit Card

Contribution rules 1.) I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder). 2.) This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution. 3.) I am making this contribution with my own personal credit card and not with a card issued to another person. 4.) I am at least eighteen years old. 5.) I am not a federal contractor and I am not making a contribution from/as a foreign corporation or nationally chartered bank. I confirm that the above statements are true and accurate.