| Contribution Form |
|
|
|
|
PITKIN COUNTY REPUBLICANS CONTRIBUTION FORM (Please print and mail with your check) Contributions to the Pitkin County Republicans are subject to the limits and restrictions of Colorado law, including an annual aggregate limit of $3,175.00 per individual to all county Republican parties in the State of Colorado as well as the state Republican party. Contributions from corporations, labor organizations, foreign citizens, and certain sole source government contractors covered by Amendment 54 to the Colorado Constitution are prohibited. Contributions to the Pitkin County Republicans are not deductible for federal or state income tax purposes. Campaign finance regulations require us to collect and report the name, address, occupation and employer of contributors. Name (first and last): _________________________________________________ Street/P.O. Box: ______________________________________________________ City: ______________________________ State: ________ Zip: ____________ Occupation: _________________________________________________________ Employer: ___________________________________________________________ Please make your check payable to Pitkin County Republicans and mail it to: Pitkin County Republicans 1880 Lazy O Road Old Snowmass, Colorado 81654 MANY THANKS We also invite you to join our email network for notices about upcoming events sponsored by the Pitkin County Republicans and other local Republican organizations. if you would like to be added to the network, please provide your email address. Email Address: ________________________________________________________ |