General Fund

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Phone*

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

First name*

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Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Are you currently employed?*

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Employer Name*

Occupation*

I am either a United States citizen or a foreign national with permanent resident status in the United States.

Are you a communicator lobbyist?*

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

If yes, are you an elected public official?

Are you a principal of a state contractor or prospective state contractor?*

If you answered “yes” to the previous question, are you an elected public official?

Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services?*

I am eighteen years of age or older (applicable to contributions exceeding $30)*

I am eighteen years of age or older (applicable to contributions exceeding $30)

This contribution is made on my personal credit card for which I have a legal obligation to pay and intend to pay from my own personal funds; payment on this card is not made from the funds of a corporation, labor organization or any other entity*

This contribution is made on my personal credit card for which I have a legal obligation to pay and intend to pay from my own personal funds; payment on this card is not made from the funds of a corporation, labor organization or any other entity

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