Delta County Republican Central Committee

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Add $1.16 to cover the fees

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Email*

Phone*

First name*

Last name*

Address*

Apt, Unit, etc.

City*

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Zip*

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This form only accepts US addresses.

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Employer Name*

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Requirement

Reports must contain the name and address of the contributor for all contributions of $20 or more (either one time contributions or contributions greater than $20 in aggregate during a reporting period), and the contributor’s employer and occupation for all contributions of $100 or more if the contributor is a natural person.

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