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To comply with law, contributors are required to provide their employment information. If you are retired, please enter N/A under Employer and Retired under Occupation; if a homemaker, please enter N/A - Homemaker; if self-employed, please enter "Self-Employed" under Employer and describe your line of work under Occupation.
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* I confirm that the following statements are true and accurate:
- I am not a foreign national who lacks permanent residence in the United States.
- This contribution is made from my own funds, and not those of another.
- This contribution is not made from the funds of a corporation or labor organization.
- This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.
- I am at least eighteen years old.
- I am an AAFP member, an AAFP employee, or a family member of an AAFP member or employee.
- I understand that contributions to FamMedPAC are not tax deductible for federal income tax purposes.
Contributions or gifts to American Academy of Family Physicians Political Action Committee are not tax deductible.
Federal law requires contributions to FamMedPAC to be recorded on a calendar year basis. If you choose the recurring contribution option you will be credited with the amount of the contribution that is received by December.

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