Give Green - A project of the LCV Action Fund


HOME \| CREATE A PAGE \| CANDIDATE DIRECTORY \| FUNDRAISING PAGES

Contribute now to Chris Murphy (CT-5)

I would like to contribute:
	$25.00		$100.00		$500.00		$2,300.00
	$50.00		$250.00		$1,000.00		Other: $

I would like to make this contribution:
	Once.		Each month, for the next		months.

Payment Information

We accept Visa and Mastercard.
Stored your information with League of Conservation Voters Express?

First Name

Last Name

Credit Card Number

Expiration Date

Home Address


City	State	Zip

Country

Phone

E-mail

Employment Information

Please help us comply with the law by providing the information below. If you are the owner of a business, are a partner in a firm, or are a consultant currently employed with one business/organization, please list that as your Name of Employer. For Occupation, if you are a consultant, please describe the area of consulting.

Occupation	Employer

If not employed, please enter "not employed". Complete even if self-employed.	If not employed, please enter "none". If self-employed, please enter "self".

Contribution Eligibility

I confirm that the following statements are true and accurate.

This contribution is made from my own funds, and not those of another.
This contribution is not made from the general treasury funds of a corporation, labor organization, or national bank.
I am not a foreign national who lacks permanent resident status in the United States.
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.

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer for individuals whose contributions exceed $200 in a calendar year.