Elect Jacey Buckles

The state of Missouri limits individual campaign contributions to $2000.00 per election for state representative. State law requires that we collect and report name, address, occupation, and employer of each contributor. Contributions from foreign nationals are prohibited by law. Donations are not tax deductible.

Choose Amount

Cover the fees

Email*

Send me updates by email(not needed for receipts)

Phone

Send me updates by text*

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

First name*

Last name*

Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Are you currently employed?*

YesNo

Employer Name*

Occupation*

Campaign Finance Law requires us to collect employment information.