0 By USINPAC Uncategorised August 9, 2010 One-time donation Your donation means that USINPAC can continue its support of candidates to political offices, and fight for issues that affect the Indian-American community in the U.S. Donate by phone Please call 202-904-2847 Billing Name (As it appears on your credit card) Title: MrMs First name: Last name: Billing Address Address 1: Address 2: City / State: Postal Code/Zip: Phone Number: Select an Amount to Contribute $25 $100 $1000 $5000 # of MonthsJanFebMarAprMayJunJulAugSepOctNovDecThe maximum contribution for PAC is $5,000 per calendar year Payment Method Credit Card Number: Card Verification Number: What is this? Expiration Date: JanFebMarAprMayJunJulAugSepOctNovDec201120122013201420152016201720182019202020212022202320242025 Enter Employment Information Federal Election Law requires political committees to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 per election cycle Employer: Occupation: (enter “none” if not employed) Confirm Your Eligibility By checking this box, I confirm that the following statements are true and accurate: I am a citizen or permanent resident in the United States. The funds I am contributing are my own personal funds and not those of another person. My contribution is not from the general treasury funds of a corporation, organization or national bank. I am not a federal contractor. I am not a foreign national who lacks permanent resident status in the United States. I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person. Confirmation of Donation Employer: Your Donation Is Safe and Secure Click only once This Donation will appear on your credit card statement as www.DonationPages.com This is a secure, encrypted transaction that may take up to 60 seconds to complete. Please be sure to click the “contribute button” only once. If your browser does not respond within 60 seconds, press the “refresh” or “reload” button on the menu bar and enter the transaction again. PAC: The maximum contribution for PAC is $5,000 per calendar year. Individual: The maximum contribution for Individual is $5,000 per calendar year. PAC FUNDS WILL BE USED FOR POLITICAL PURPOSES. CONTRIBUTIONS CANNOT BE DEDUCTED AS A CHARITABLE CONTRIBUTION FOR FEDERAL TAX PURPOSES. USINPAC / About Author More posts by USINPAC Leave a comment Cancel reply Save my name, email, and website in this browser for the next time I comment. Send Comment