CONTRIBUTIONS BY PERSONAL CHECK:
Please fill in the form below
Print this form and mail with your personal check to:
Friends of Jan Schneider P.O. Box 57, Sarasota, FL 34230-0057
CONTRIBUTIONS BY CREDIT CARD:
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If you are using an American Express Card, Please Click here
Thank you.
Federal law requires us to use our best efforts to collect
and report the name, mailing address, occupation and employer of those individuals whose
contributions exceed $200 in the aggregate. * Denotes required information
*Last Name:
*Address:
*City:
*State/Province:
*Zip/Postal Code:
Phone:
Fax:
*E-Mail:
*Occupation:
*Employer:
Contribution Limits
Under federal law, the maximum allowable contribution for each individual is $4,200 for the
current election cycle ($2,100 each for the primary and general elections). Couples may
give up to $8,400 from common funds for the primary and general elections, but both signatures
must be on the account. Contributions are not deductible for Federal income tax purposes.
Eligibility
By completing my donation, I certify:
that I am contributing my own personal funds and not those of another person;
that my contribution is not from general treasury funds of a corporation, labor organization or national bank;
that I am not a foreign national who lacks permanent residency status; and
that I am not a federal government contractor.
I agree that the above statements are true Agree Disagree