RISE INDY PAC Contribution Form

Contributions or gifts to RISE INDY PAC are not deductible as charitable contributions for federal income tax purposes.

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EDUCATE 16 VOTERS! ($6) BUY VOLUNTEERS BREAKFAST! ($17) REGISTER 20 VOTERS! ($21) SPONSOR A HALF DAY SHIFT! ($60) SPONSOR A FULL DAY SHIFT! ($120) Other $

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This information is required by law.

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I am retired

If you are self-employed, please list the name of the entity that is on your paycheck. Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead.

We respectfully request that Partners of Partnerships and Members of LLC's contribute individually, instead of through their respective business entity.

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