Contribution Form

Contibution Form

Personal Information

Last Name First Name
Address
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E-mail
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Please add me to your mailing list: I'd like to volunteer for the campaign, please contact me.

Information Required by Federal Law

Employer
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If you are retired, please enter N/A under Employer and Retired under Occupation;
if a homemaker, please enter N/A under Employer and Homemaker under Occupation;
if self-employed, please enter "Self-Employed" under Employer and describe your line of work under Occupation.

Confirmation

I confirm that the following statements are true and accurate:
I am not a foreign national who lacks permanent residence in the United States.
This contribution is made from my own funds, and not those of another.
This contribution is not made from the funds of a corporation or labor organization.
This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.
I am at least eighteen years old.
Contributions or gifts to Sharon C. Davis Representative Distict 8 2006 are not tax deductible.

Make checks payable to: Sharon Cade Davis Campaign and mail to:
Sharon C. Davis
PO Box 1816
Palestine, TX 75802