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Donate – Monthly Contribution

Donate – Monthly Contribution
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By USINPAC Uncategorised August 9, 2010
Monthly gift

You can choose to make a monthly contribution of your choice to USINPAC efforts to be a strong and effective voice of the Indian-American community in the U.S. Your steady contribution will help us continue to support and fight for issues that matter to Indian-Americans.

 
Donate by phone Please call -(001)-(202)-904-2847
 
Billing Name (As it appears on your credit card)
   
 
Title:
First name:
Last name:
  Billing Address
   
 
Address 1:
Address 2:
City / State:
Postal Code/Zip:
Phone Number:
 
Select an Amount to Contribute
   
 
$100 $1000 $5000
 
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a monthly contribution
  # of Months
 
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Expiration Date:
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
 
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Select Contribute Fund
 
Please select the fund you would like your contribution to be allocated to.
 
 
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
 
 
 
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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.
 
 
 

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