Capitol Lincoln Club - State

2026 Membership Application


1 Contribution

  • $9,800

    Business Membership Only State PAC

  • $2,500

    Lincoln Membership

  • $1,000

    Reagan Membership

  • $500

    Individual Membership

  • $250

    30 and Under or Government Employee Membership

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.

By clicking Contribute, I authorize PayPal, on behalf of eFundraising Connections to verify my bank account information using bank information and consumer reports and I authorize eFundraising Connections to initiate an ACH/electronic debit to my checking account provided above, in the amount of [$XXX], on or after today: 9/15/2026. I agree the ACH transactions I authorize comply with all applicable laws.
By clicking Contribute, I authorize PayPal, on behalf of eFundraising Connections to verify my bank account information using bank information and consumer reports and I authorize eFundraising Connections to initiate an ACH/electronic debit to my checking account provided above, that will be stored on file, and debited on or after the due date. I agree the ACH transactions I authorize comply with all applicable laws. I understand that this authorization will remain in full force and effect until I notify eFundraising Connections that I wish to revoke this authorization.

By contributing you agree to the terms and conditions.