Or By Mail
Click
here to
fill out our Interactive Donor Information Form, print, and mail
it with your check to the following address:
Please make
checks payable to:
Jefferson County Republican Party
Please print this page, complete the information, and Mail
to:
Jefferson County Republican Party
PO Box 24843
Louisville, KY 40224-0843
Please do not
proceed with the transaction unless all the statements below
are TRUE.
| 1. |
This contribution is made knowingly and
voluntarily from my own funds, not those of another and
the contribution is not controlled by another individual
or made from the proceeds of a gift given to provide
funds to be contributed. |
| 2. |
This contribution is not
made from the general treasury funds of a corporation,
labor organization or national bank. |
| 3. |
I am not a foreign
national who lacks permanent resident status in the U.S.,
nor do I personally contract with the federal government
for personal services or the sale of goods, land or
buildings. |
| 4. |
I am at least 18 years
old. |
| 5. |
I affirm that this
contribution is made on a personal credit card for which
I have the legal obligation to pay, and not through a
corporate or business entity card or the card of another.
|