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Employer Information

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 tax deductible.

I am a United States citizen or lawful permanent resident. I am at least 18 years old. I am not a federal contractor. 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. I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person. Contributions are not deductible as charitable donations for federal income tax purposes.
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