Commemorate 20 years of RADPAC by contributing $20 a month from March to December of 2019. To participate in the campaign please fill out the form below and be sure to choose recurring. All contributors will be entered for various raffles throughout the year. Prizes will include: Gala tickets, RLI courses, gift cards, and an Ipad.
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Employment Information

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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Confirm Eligibility
* I confirm that the following statements are true and accurate:

  • I am not a foreign national who lacks permanent residence in the United States.

  • I am not a Federal government contractor.

  • 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.

For Internal Data Entry Only
The fields are available below because you selected to turn off validation. This creates an internal contribution form that allows you to enter contributions without requiring all fields.
Federal law requires us to use our best efforts to collect and report the name, address, occupation and name of employer of individuals whose contributions exceed $200 per election cycle.

Contributions to RADPAC are limited to $5,000 per individual per calendar year. Contributions to RADPAC are not tax deductible.

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