Contact Information
 
 
First Name: 
Last Name: 
Address: 
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Zip: 
Phone: 
Email: 
 
 
 Employment
 
 

To comply with State law, we must use best efforts to obtain, maintain, and submit the name, mailing address, occupation and name of employer of individuals whose contributions exceed $100 in an election cycle.

If not employed, enter "none"

Employer: 
Occupation:  
 
 
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$10 $50 $250 $1000 $3200
$25 $100 $500 $1600 Other $
 
 
 Credit Card Information
 
 
We accept MasterCard, Visa, and American Express
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 Confirm Your Eligibility
 
 
  By checking this box, I confirm that the following statements are true and accurate:
 
This contribution is made on a personal credit card not with a corporate or business credit card or a credit card issued to anyone else.
 
I am a United States citizen or a permanent resident alien.
 
I am at least 18 years of age.
 
 
 

   

 
Your contribution is not tax-deductible for federal income tax purposes. An individual may contribute a maximum of $3,200 per election (the primary and general are separate elections). By submitting your contribution, you agree that the first $1,600 of your contribution is designated for the primary, and any additional amount up to $1,600 is designated for the general election. Corporations and individuals are strictly prohibited from reimbursing another person for making a contribution to Friends of Mike Kreidler.