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Online Donation

Thank You!

Your donation will make a difference and help us elect candidates that share our values.

  • If you would prefer to make a donation by check, please use this form and mail the form and the check to the address on the form.
  • If you are making an in-kind contribution (non-cash) please do not use this form.  Contact us for more information at In-Kind Information.
  • For more information and a list of definitions for this form Click Here.
  • This form is required by the Connecticut State Elections Commission.  For more information Click Here.

* indicates a required field.  After filling out the form click on "PROCESS DONATION". You will be directed to our PayPal site where you can use your credit or debit card to complete the donation.

Donor information

You may enter an alternate address in lieu of your residential address only if you are admitted into the Address Confidentiality Program pursuant to General Statutes § 54-240 (a) or if you are one of the individuals with protected address status articulated in General Statutes § 1-217.
You must enter an employer. If multiple employers and one is a state contractor, list the state contractor. If self-employed, provide Name of Business. Example: Dave’s Painting; Other Examples: Retired, Unemployed, Student, Homemaker.
If self-employed, provide Job Description. Example: Painter; Other Examples: Retired, Unemployed, Student, Homemaker.
Note that under Public Act 10-1, communicator lobbyists and their immediate family members are permitted to give contributions of up to one hundred dollars in the aggregate to party committees.
I hereby certify and state that all of the information disclosed by me and set forth above on this contributor card is true and accurate to the best of my knowledge and belief. I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States. I certify that this contribution is being made from my personal funds, is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution. I certify that This contribution is made on my personal credit card for which I have a legal obligation to pay and intend to pay from my own personal funds; payment on this card is not made from the funds of a corporation, labor organization or any other charity. Please print your full name as a digital signature:

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Support Your Democratic Candidates On Tuesday November 3, 2020

Joe Biden female silhouette Courtney
President of the United States Vice President of the United States Congressman for the Second District
Joe Biden To Be Determined Joe Courtney
joebiden.com Who will Joe Pick? www.joecourtney.com
     
     
Thomas 150px US Democratic Party Logo  falusi
State Senator for the 35th District Marjorie L. Roach  State Representative for the 8th District
Lisa Thomas  Registrar of Voters Brenda Falusi
www.facebook.com/LisaForEasternCT www.facebook.com/RepBrenda2020/

 

 

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