Thank you for showing interest in donating to our committee.  Once the form is complete, you will be taken to a secure PayPal page to put in the amount of your donation as well as some personal information such as name, address, and phone number.

Please Note: Federal election law requires political committees to use best efforts to report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 during an election cycle. An individual may not contribute more than a total of $2400 per election to the committee. Federal law prohibits contributions to the committee from the general treasury funds of a corporation, labor organizations or national banks (including corporate or other business entity credit cards), from any person contributing another’s funds, from a Federal government contractor, or from a foreign national who lacks permanent resident status. Contributions are not deductible for Federal income tax purposes.

Contact Information

1. Your Name(required)
2. Email Address(valid email required)
3. Cell Phone Number
4. Home Phone Number

Mailing Information

1. Address 1(required)
2. Address 2
3. City(required)
4. State(required)
5. Zip(required)
6. County(required)
7. Include Me in Mailings Yes No (required)

Employment Information

1. Employer(required)
2. Occupation(required)
3. Work Phone(required)