RIHCA PAC Contribution

CONTRIBUTION RULES: (1) 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. (2) I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder). (3) I am at least eighteen years old. (4) 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.

Name(Required)

First Last

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Organization(Required)

Contribution Amount(Required)

(Per R.I. Campaign Finance Laws, individuals can not contribute more than $2,000 in a calendar year to a PAC)

I certify that this is a PERSONAL contribution.(Required)

Yes

TOTAL AMOUNT DUE

Credit Card(Required)