CT HRCC

Democrats have controlled the legislature for decades, installing failed policies that have hurt Connecticut's finances and economy. Contribute today to help Republicans win control of the House of Representatives and turn around our state!

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This form only accepts US addresses.

Are you currently employed?*

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If you are self-employed, please provide name of business (Ex. Dave's Painting)

If under 18, list your age:

Are you a communicator lobbyist?*

Are you the spouse or dependent child of a communicator lobbyist?*

If Yes, are you an elected public official?

Are you a principal of a state contractor or prospective state contractor?*

If Yes, which branch?

If Yes, are you an elected public official?

Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services?*

Requirement*

I hereby certify and state that all of the information disclosed by me and set forth above on this contributor card is true and accurate to the best of my knowledge and belief. I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States. I certify that this contribution is being made from my personal funds, is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution. If you're uncertain of any terms click this link for definitions: http://tinyurl.com/y997g8rr).

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