Washington, CT

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Employment: To comply with Federal law, we must use best efforts to obtain, maintain, and submit the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in a calendar year. If you are not employed, enter "none" in the respective field. If you are retired, you may enter "N/A" and "Retired", in the respective fields.

Legal Compliance:

  1. I am a United States citizen or a permanent resident alien currently residing in the U.S.
  2. I am not a federal government contractor.
  3. This contribution is made from my own funds, not those of another and not those of an entity that is a federal contractor.
  4. This contribution is not made from the funds of a corporation, labor organization or national bank.
  5. This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.
  6. I am at least eighteen years old.