*Please review your contact and residential information to ensure it is accurate before submitting your contribution.
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Answer if this is a contribution to a candidate committee or exploratory committee of a candidate running for CHIEF EXECUTIVE OFFICER of a municipality (i.e. mayor, first selectman) or a slate committee financing such a candidate.
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If self-employed, provide Name of Business. (Example: Dave’s Painting Other Examples: Retired, Unemployed, Student, Homemaker). If self-employed, provide Job Description. (Example: Painter Other Examples: Retired, Unemployed, Student, Homemaker)
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