Submit Donor Information Please enable JavaScript in your browser to complete this form.This form is for donors who submit paper checks or make in-kind donations The law requires us to collect information about donors. As a municipal party political committee there are rules and regulations we follow. Describe the Donation *Let us know the check number and amount or describe any in-kind donation. A check payer must match the name and address on this form. If you submitted a receipt let us know who you gave it to.Name | Nombre *FirstLastEmail | Correo Electrónico *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSend us a message | Envianos un MensajeHow can we help you? | Como podemos ayudarte?Optional but useful fields. | Opcional pero útil…Skip Optional FieldsPhone | TeléfonoOptional. If you enter your phone number and it is a mobile phone, we may send you SMS/text event updates. You may opt out at any time with STOP.How would you like us to respond/contact you?Email | Correo ElectrónicoPhone | TeléfonoSMS Texts | Textos SMSUS Mail | Correo de los Estados UnidosNewsletterSubscribe | SuscribirUnsubscribe | Darse de bajaNo change | Ningún cambioCommentSend | Enviar