GIFT MEMBERSHIP TO NACPAC


PLEASE NOTE: We are obliged to charge a $10.00 processing fee on credit card payments. Adjust the amount of your contribution accordingly (For a $1000.00 contribution to join at the Capitol Club level, your total contribution must be $1010.00).

First Name:
Last Name:
Employer: (required for over $200)
Occupation: (required for over $200)
Phone:
Membership Levels:
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
Amount: $ (limit $5000)
You must check each of the boxes below to meet federal contribution requirements:
This contribution is made from my own funds, and not from those of another.
This contribution is not made from the funds of a corporation, labor organization or national bank.
I am not a Federal government contractor, nor am I a foreign national who lacks permanent resident status in the United States.
This contribution is made on a credit or debit card for which I have a personal, legal obligation to pay.
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.

 

3389 Sheridan Street, #424  Hollywood, FL 33021  Tel: 954.894.3048  
Copyright 2002 National Action Committee   All rights reserved