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Please enter your name exactly as it appears on your credit card. For your protection, the address you provide should be the same as the billing address of your credit card.

State law requires us to collect the following information. If this information is not provided, the Committee may be required to refund your contribution.
Donor information
Donation Information
Amount: Tooltip $21.00 [ $21 for 21 ]
$25.00
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Confirm Your Eligibility:
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By checking this box, I affirm that the following statements are true and accurate:*
  1. I am a citizen or permanent resident of the United States.
  2. If this contribution is from an individual, I affirm that this contribution is being made from my own personal funds, not those of another.
  3. If this contribution is from a business entity or any other organization or group, I affirm that I am authorized to make this contribution on my organization's behalf.
  4. I affirm that I am making this contribution via a personal or organization credit or debit card for which I or my organization have a legal obligation to pay.

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