General Fund

Use this page for general fund donations. Thank you for your support.

** Please note, Connecticut requires that we gather all the information requested on this page.

** Eligible donors may only donate up to $2,000 in a calendar year.

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Email*

Phone*

First name*

Last name*

Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Please confirm age:*

Are you a communicator lobbyist? (Note that under Public Act 10-1, communicator lobbyists and their immediate family members are permitted to give contributions of up to $100 in the aggregate to party committees.)*

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 yes, please indicate which branch or branches of government the contract(s) is with:*

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

Requirement*

I hereby certify and state that all of the information disclosed by me and set forth above on this contributor card is true and accurate to the best of my knowledge and belief.

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

I certify that this contribution is being made from my personal funds, is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution.

I certify that I have provided my residential address.

I am 18 years of age or older (if under 18 plase contact the Committee.

Click here to read legal definitions.

Are you currently employed?

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Employer Name*

Principal Occupation*

Name of Employer (If self-employed, please provide Name of Business. Example: Dave's Painting. Other Examples: Retired, Unemployed, Student, Homemaker) Principal Occupation (If self-employed, provide job description. Example: Painter. Other examples: Retired, Unemployed, Student, Homemaker)