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.
Contributions are not tax deductible.
$5 $25 $50 $100 $250 $1,000 $2,500 Other $
I AFFIRM THAT THE FOLLOWING STATEMENTS ARE TRUE AND ACCURATE:
1. This contribution is made from my own funds, and not those of another.
2. I am not a foreign national who lacks permanent resident status in the United States.
3. I am at least 18 years of age.