Field Team 6 Remit

Once you complete and submit the following information (required by the Federal Elections Commission) you will be provided with either the Field Team 6 Zelle handle (for Zelle donations) or an address (where to mail your check). Thank you!

Contribution rules:

  1. I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder).

  2. This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.

  3. I am making this contribution with my own personal funds.

  4. I am at least eighteen years old.

  5. I am not a federal contractor.

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First Name *
Last Name *
Email *
Phone
Address *
City *
State *
ZIP Code *
Disclaimer
If you are self-employed, please enter “Self” as employer, and enter your occupation. If you are a student, homemaker, or retired, please list that under occupation. If you are not employed currently, please list “Not Employed” (rather than “None”) under employer.
Employer *
Occupation *
Donation Amount (in dollars) *
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