Disclosure System

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Contribution Information

Amount *

Date *

Election *

Primary Election

General Election

Type of Contribution *

You may enter individual transactions for small contributions. Your transactions will be automatically itemized as required.

Description *

Contributor Information *

Contributor *

Search for previously entered contributors. Select "New Contact" to enter a new contributor using the fields below.

Type of Funding Source *

Contributor Name *

Mailing Address

Address *

City *

State *

ZIP *

I will add the contributor employer and occupation later

I will add the contributor employer and occupation later

If you don’t know the contributor employer and occupation you may check this box and contact the contributor. You must later amend this contribution to include this information.

Contributor Employer *

Contributor Occupation *