Western States Petroleum Association California PAC

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1 Contribution Have an eFundID? Login

$10
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$9100
$ Other

2 Personal Information

Email

Phone

First Contributor

First Name

Last Name

Company Name

Company Type

Responsible Officer First Name

Responsible Officer Last Name

I agree to the following statements:

Responsible Officer is the Name of Individual with Primary Responsibility for Approving this Contribution

Joint Address

Address

City

State

Zip

First Contributor

I am retired

Employer

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Employer City

Employer State

Second Contributor

I am retired

Employer

Occupation

Employer City

Employer State

3 Additional Information

Business Title

4 Payment Method

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Security

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Comment

I agree to the following statements:

I certify the following:

Provide their address, occupation, and employer
(For individuals) I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder).
I am at least eighteen years old.
This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.