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NACPAC Gift Membership

Our mailing address:
National Action Committee   PO Box 350590 
Fort Lauderdale, FL 33335
 

To give a NACPAC gift membership, 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.


This is a gift membership from
______________________________________________

Gift inscription to read:  ____________________________________________________

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

General Membership

$100-249 annual

Sustaining Membership

$250-499 annual

Joshua Society

$500-999 annual

Capitol Club

$1000-1799 annual

Chai Society

$1800-2499 annual

Benefactor

$2500-4999 annual

Grand Benefactor

$5000 annual


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