Support - Friends of Jason Cummings

If you would prefer to donate by check, please send your contribution to:

Friends of Jason Cummings, PO Box 12066, Seattle, WA 98102

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Email*

Phone

First name*

Last name*

Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Are you currently employed?*

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Employer Name*

Occupation*

Employer Address*

Apt, Unit, etc.

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State*

Zip*

This form only accepts US addresses.

Donation Requirement

(1) I am a United States Citizen or a Permanent Resident alien;

(2) I am making this contribution from my own funds, and not those of another;

(3) I am making this contribution on my own personal credit or debit card, and not with a corporate or business card; and

(4) I am at least 18 years of age.