Patriots of America PAC

1 Contribution

  • $10

  • $25

  • $50

  • $100

  • $500

  • $2000

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

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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.

1. This contribution is made from your personal funds and will not be reimbursed by another person or entity; 

2. This contribution is made by a U.S. citizen, lawfully admitted permanent U.S. resident (i.e. Green Card holder), and not a foreign national or entity, federal government contractor, or national bank; and

3. Contributions from individuals up to $5,000 per year are designated to the Patriots of America PAC’s candidate contribution account, and any amount in excess of $5,000 per year is designated to the Patriots of America PAC’s Carey account.