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Donations - Secure Online Donation Form
If you are contributing to the PAC, under "Donor Comments" please add your occupation (PT, PTA, Student, etc.).  We need this information per the Ethics Commission rules.

Campaign/Fund Information
Campaign/Fund * Tom Waugh Fund
or Select a Different Fund
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Donation Information
Donation Amount *
Payment Method * Credit Card
Donor Comments
Donor Information
First Name *
Middle Name
Last Name *
Suffix
Organization
Email *
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Phone *
Billing Information
[ Click here if billing address is the same as donor address ]
 *  
Organization 
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Billing Phone *

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