Lakin for Council

Email*

Send me updates by email(not needed for receipts)

Phone*

Send me updates by text*

* By providing your phone number, you are consenting to receive text message updates, including automated text messages, to that number from Lakin for Council. Message & Data rates may apply, and message frequency may vary over time. Reply "STOP" to opt out of these text message updates.

First name*

Last name*

Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Are you currently employed?

YesNo

Employer Name

Occupation

Check to confirm these statements are true.*

YesNo

The maximum an individual may contribute is $3,300 per election. Couples may contribute up to $6,600 for each election. Contributions are not tax deductible as charitable contributions for federal income tax purposes. State law prohibits acceptance of corporate contributions.

Choose Amount