Hospital Association of Southern California PAC

1 Contribution

  • $100.00

  • $250.00

  • $500.00

  • $1,000.00

  • $2,500.00

  • $5,000.00

  • $10,000.00

2 Personal Information

First Contributor
Joint Address
First Contributor

If you have no occupation or employer, do not leave blank. For occupation use general terms such as 'manager', 'homemaker', or 'none.' If not employed by a company, use terms such as 'self', 'retired', or 'unemployed.'

3 Payment Method

Credit Card Icon

CVC on Visa/MasterCard/Discover is a 3 digit code on the back of the card. CVC on AMEX is a 4 digit code on the front of the card.

Contributions are not tax deductible.  This contribution is made from my own funds on a personal or entity account for which I have legal obligation to pay or authorization to control, and not the funds of another.  No limit applies on the amount a donor may contribute to this committee.  Contributions may not be made by a charitable organization, public agency, or foreign national lacking permanent US residency (green card).