Payment Form

Make A Payment

Individual:

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My Email Address Has Changed

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Please provide at least one phone number.

Cell Phone

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I Am Retired

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Check The Funding Source That Applies To You:

FEDERALLY PERMISSIBLE: This payment is made with my own personal funds and not with the funds of a corporation, union, national bank, non-federal political committee or other funds not permissible under federal law.

NOT-FEDERALLY PERMISSIBLE: This payment is made with corporate, union, national bank, non-federal political committee funds or other funds not permissible under federal law but are permissible under state law.