Donation Follow UP

Federal law requires Defending the Republic PAC to use its best efforts to collect and report the name, mailing address, employer and occupation of persons who contribute in excess of $200 per calendar year. Note, we take corporate contributions! Contributions to Defending the Republic PAC Inc. will be used for political purposes and are not deductible as charitable contributions for federal income tax purposes.

Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email*
Occupation
Employer (If Not Employed Enter 'NA' | If Retired Enter 'Retired')*