Contribute

[[[["field13","equal_to","0"]],[["show_fields","field14"]],"and"]]
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First Name
Last Name
Phone Numberyour full name
Address
Address 2 (Optional)
City
Zip
Donation AmountPlease select an amount.
Other Amountyour full name

Occupation Information (required)

Employer
Occupation
$[ field13 + field14 ]

NORTH CAROLINA LAW REQUIRES POLITICAL COMMITTEES TO REPORT THE NAME, MAILING ADDRESS, JOB TITLE OR PROFESSION AND NAME OF EMPLOYER'S SPECIFIC FIELD FOR EACH INDIVIDUAL WHOSE CONTRIBUTION AGGREGATE IS IN EXCESS OF $50 IN AN ELECTION. CONTRIBUTIONS MAY NOT EXCEED $5,100 PER PERSON PER ELECTION CYCLE. NORTH CAROLINA LAW PROHIBITS THE SOLICITATION OF LOBBYISTS, CORPORATIONS, AND FOREIGN NATIONALS. PLEASE DISREGARD THIS SOLICITATION IF IT REACHED YOU IN ERROR.

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