Citizens For Progress PAC

We are dedicated to helping progressive candidates in Connecticut. We want to promote ideas and platforms that will help working families.

Choose Amount

Email*

Phone*

First name*

Last name*

Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Employment*

Employer: If multipule employers and one is a state contractor, list the state contractor. If self employed provide the name of the buisness. (example: Daves Painting. Other examples: Retired, unemployed, student, homemaker.)

Principal Occupation*

If self Employed, provide job description. (Example: painter. Other Examples: Retired, Umemployed, Student, Homemaker.)

Are You 18 years of age or older?*

Are you a Communicator Lobbist?*

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

Are you a principal of a state contractor or prospective state contractor? if yes please indicate which branch or branches of government the contract(s) is with*

Are you a Public Offical?*

Are you a principal of a holder of a valid prequalificationissued by the commissioner of administrative services?*

Certificaiton*

Click to confirm this Statment is True

I hereby Certify and state that all of the informaiton 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 forgien national with permanent resident status in the United States. I certify that htis contribution is made on my personal debit or credit card for which I have a legal obligaiton to pay and intend to pay from my own personal funds, is not being reimbursed in any manner, is not being made as a loan, is not an otherwise prohibited contribution, and that payment on this card is not made from funds of a corporation, labor organization or any other entity.