Donate with a credit card

PayPal

Fill out the donation form below then click Donate. We use PayPal's secure payment service to accept all credit card donations.

Your credit card information is not kept on file. We do not give out contact information to third parties.

Contact information

Note: The address must match your credit card billing information.

First Name:

Last name:

Email:

Telephone:

Address 1:

Address 2: (optional)

City:

State:

Zip code:

Employment

Federal law requires that we report the contributor's name, mailing address, occupation, and name of employer for contributions of more than $200.00 per election cyle.

If you are not employed, enter "none" in the occupation and employer boxes.

Employer:

Occupation:

Confirm eligibility

Read and check the required box at the bottom of the page.

Federal law requires all online contributors to confirm that the following statements are true and accurate. If you cannot confirm each statement, you are not eligible to contribute to the Jim Noorlander 2008 Congressional Campaign Committee.

This contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.
I am a United States citizen or a lawfully-admitted permanent resident.
I am making this contribution with my own personal funds, and I will not be reimbursed by anyone for this contribution.
I am not a federal government contractor.
I am at least 18 years of age.

The above statements are true and accurate:

$2300	$500	$75
$1500	$250	$50
$1000	$100	$25
$

Donate with a credit card

PayPal

Contact information

Employment

Confirm eligibility

Ready to donate

Constitution Party