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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:
- Yes, I understand that my contribution to the National Athletic Trainers' Association Political Action Committee is strictly voluntary and that I have a right to refuse to contribute without reprisal. PAC funds will be used for political purposes and contributions will be made to candidates for federal office.
- I understand that my contribution is not tax-deductible as a charitable contribution for federal state tax purposes.
- I certify that I am legally eligible to contribute to NATAPAC, and that I am a U.S. Citizen and am not a federal contractor.
- I further understand that Federal law requires NATAPAC to use its best efforts to collect and report the name, mailing address, occupation and the name of employer of individuals whose contributions exceed $200 per calendar year.
- I certify that this contribution is from my personal account and not a corporate account.
Contributions or gifts to National Athletic Trainers' Association Inc Political Action Committee (NATA PAC) are not tax deductible.

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