BY CLICKING THE ACKNOWLEDGEMENT CHECK-BOX I AFFIRM THE FOLLOWING IS TRUE:
That I am a US Citizen or a foreign national with permanent resident status in the United States.
That all of the information disclosed by me on this contributor form is true and accurate to the best of my knowledge and belief.
That as the individual contributor I have provided my current residential address, employer and principal occupation.
That I am NOT a principal of a state contractor or prospective state contractor.
That this contribution is made on my personal debit or personal credit card for which I have a legal obligation to pay and intend to pay from my own personal funds; that the name on the card is the name provided above; and that payment on this card is not made from the funds of a corporation, labor organization or any other entity.
And that this contribution is not being reimbursed in any manner; is not being made as a loan and is not an otherwise prohibited contribution.
Click here to review the official Definition of Terms document published by the Connecticut State Elections Enforcement Commission.