Contribution Form (inactive for now)


I confirm that the following statements are true and accurate:

I am a United States citizen or a permanent resident alien.
This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
This contribution is not made from the treasury of an entity or person who is a federal contractor.
The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.
I am at least 18 years old.

First Name:
Last Name:
Address:
Address:
City:
State:
Zip:
Phone: - -
Email:
Occupation:
Employer:
Your contribution is not tax-deductible as a charitable contribution for Federal income tax purposes.

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If you prefer to make your contribution by check, please make the check payable to the Columbia Democratic Club and mail it to the Columbia Democratic Club, P.O. Box 6361, Columbia, MD 21045-6361.
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