Campaign Kickoff Purchase

NOTE: Washington State Public Disclosure (PDC) requires political parties to report the place of employment, city and state for everyone who donates to them. Acceptable options are (unemployed, homemaker, retired or self-employed), but you are still required to provide a city and state of employer (you can use the city / state where you live).

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First Name

Last Name

Phone

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Country

Address

City

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Employer

Occupation

Employer Country

Employer City

Postal code

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.

This is a contribution from a business.

Contributions are not tax deductible.

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