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Membership Selection
Contact Information
Employer Information (Required by Law)

For Employer - If you are self-employed, please enter the name of the entity that is on your paycheck. If unemployed, enter "unemployed".

For Occupation - Please enter your line of work. "Business Person" is not accepted; 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.

Payment Information
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.
  • This contribution is not made from the funds of a corporation or labor organization.
  • This contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is not made on a corporate or business entity card or on the card of another person.
  • I am at least eighteen (18) years old.