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Campaign/Fund Information
Campaign/Fund * EdPAC Contribution Paid with Corporate Funds
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Donation Information
Donation Amount *

OTHER: $ 
Payment Method * Credit Card
Donation Type *

Are these funds personal or corporate? *
Personal Contributions may be used to support political candidates. Corporate Contributions may not be used to support political candidates. These funds are used for political action efforts.
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Donor Comments
Donor Information
First Name *
Middle Name
Last Name *
Suffix
Organization
Email *
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Phone *
     
Billing Information
[ Click here if billing address is the same as donor address ]
 *  
Organization 
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Billing Phone *

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