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NACPAC Donation Form

Our mailing address:
National Action Committee w   
 3389 Sheridan Street, #424
Hollywood, FL 33021
 
 
(For gifts of less than $99.00. Contributions of $100.00 or more
entitle you to MEMBERSHIP in NACPAC. Click here to join NACPAC now.)

To make a donation to NACPAC, fill in and return this form together with your check or money order. Make your Personal or Sole Proprietor checks payable to NACPAC. Corporate checks are not permitted by law.
Thank you for your generosity!
The Federal Election Commission requires political committees to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year.


Donation Amount
_________________________________________________________

Name _________________________________________________________________

Address _______________________________________________________________

City, State, Zip _________________________________________________________
USA Citizens or residents only                                   

Phone (Home) ________________ (Work) ________________ (Cell) ________________

(Fax) ________________            E-mail _________________________________

Occupation ____________________________________________________________

Employer ______________________________________________________________

I want to receive periodic "action alert" or "national news" e-mailings:  Yes No

I want to receive periodic "action alert" or "national news" e-mailings:  Yes No


The IRS requires us to notify you that any contributions to NACPAC are not deductible for federal income tax purposes.