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Spouse (Last, First):
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(If making a joint-spousal contribution) |
(Do not enter a dollar, '$', sign, use only two digits after decimal)
*Please note: Federal
law requires us to report the name, mailing address, occupation, and
name of employer for each individual whose contributions aggregate in
excess of $200.00 in a calendar year.
Note:
we currently only accept Visa and Master Card.
This contribution to The Sensenbrenner Committee is
drawn on my personal credit card, represents my personal funds, and is
not drawn on an account maintained by an incorporated entity.
The maximum an individual may contribute is $2,300.00 ($4,600.00 for a couple) in each election cycle.
Corporate and foreign national contributions are not permitted under federal law.
Contributions to The Sensenbrenner Committee are not deductible for federal income tax purposes.
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