I am not a communicator lobbyist, or the spouse or a member of the immediate family of a lobbyist.
I am not a principal of a state contractor or prospective state contractor or a spouse or a member of the immediate family of a state contractor.
I hereby certify and state that all of the information disclosed by me and set forth on this online contributor form 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 I have provided my residential address.
I certify that this contribution is being made on my personal credit or debit card for which I have a legal obligation to pay from my own personal funds, is not being reimbursed in any manner, is not being made as a loan, is not an otherwise prohibited contribution, and that payment on this card is not made from the funds of a corporation, labor organization or any other entity.
NOTE: Total contributions from an individual to a Town Committee may not exceed $2000 in a calendar year.
For definitions of "communications lobbyist" and "state contractor" please go to: https://www.madisonctdemocrats.com/donation-definition