RANDPAC
Donation Form


To: RANDPAC
PO Box 1781
Merrifield, VA 22116
From: _____________________________________

_____________________________________

_________________,   ____      _______

      Thank you for supporting RAND PAC.

      RANDPAC is dependent upon the voluntary contributions of grassroots Americans in order to recruit, endorse, and promote committed conservative candidates for office. 

      If you are able, please make a contribution today to help us continue our fight to advance the conservative movement.

___ $20    ___ $25    ___ $50    ___ $100    Other: $_______

Please make checks payable to: RandPAC
Paid for by RANDPAC. www.randpac.com

      mail code PW1401M1

Credit Card Donation

[  ] Visa  [  ] Mastercard  [  ] Discover

Card Number # ___________________________________________________

Amount: $ __________

Expiration Date: ____/____/____

Employer: _________________________

Occupation: _______________________

Contributions to Reinventing A New Direction (RAND PAC) are not deductible as charitable contributions for federal income tax purposes. Individuals and federal multi-candidate PACs may contribute up to $5,000 per calendar year. Contributions from corporations, labor unions, federal-government contractors, national banks, and foreign nationals without permanent residency status are prohibited. Federal law requires RAND PAC to obtain and report the name, mailing address, occupation and employer of persons whose contributions aggregate in excess of $200 in an election cycle.

www.randpac.com

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