PAC Contribution Form

First Name Last Name
Title
Email
Company
Address
City State Zip
Phone
Fax
Web Address

Voluntary PAC Contribution

Amount:
PAC Contribution Rules: Corporate/Company can contribute $6,800 per calendar year. If individual owns 50% or more of the contributing company, the individual’s personal contribution and the company’s contribution cannot total more than $6,500. PAC contributions can only be used for campaign contributions. These funds cannot be used to pay for lobbying efforts (The Docherty Group). Contributions are not tax deductible.
   - denotes required fields