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Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Contributions are not tax deductible.

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This contribution is from my own funds, drawn from my own account. In addition, I certify that I am at least 18 years of age. I am not a lobbyist for a for-profit corporation, or an officer of a for-profit corporation which engages in lobbying. I am either a citizen of the United States of America or a federally recognized permanent resident, as federal law requires.


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published this page 2016-04-02 17:52:33 -0400