Donation Limit: $2400
All online contributors must confirm that the following statements are true. Your contribution cannot be accepted unless each box is checked.
1. This contribution is made knowingly and voluntarily from my own funds, not those of another and the contribution is not controlled by another individual or made from the proceeds of a gift given to provide funds to be contributed.
2. I affirm that this contribution is made on a personal credit card for which I have legal pay and not through a card of another.
3. I affirm that I am over the age of 18 years of age.
Employer: Occupation: