Arizona List
2021 Yuma Virtual House Party

Register Below for the Yuma Virtual House Party

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Contact Information
Employer Information

Thank you for providing this information that is required by Federal and Arizona law.

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.

If Retired or a Student, please enter N/A for Employer and Retired or Student for Occupation.

Ticket & Guest Information
Ticket Level Quantity
TOTAL: $0 QTY: 0

PLEASE DESIGNATE IN THE BOX BELOW what portion goes to ARIZONA LIST to recruit and train pro-choice women; the remainder will go to ARIZONA LIST PAC for direct support for candidates and committees.

Our Recommended Allocation
Below $250 – 75% to the Arizona List PAC - 25% to Arizona List; $250 and above – 90% to Arizona List - 10% to Arizona List PAC

Comments
Eligibility
  • I am not a foreign national who lacks permanent residence in the United States.
  • This contribution is made from my own funds, and not those of another.
  • I am at least eighteen years old.

Thank you for your support of Arizona List and Arizona List PAC!