Norm 2026

Email*

Phone*

First name*

Last name*

Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

Country*

This form only accepts US addresses.

Are you currently employed?

YesNo

Employer Name*

Principal Occupation*

If self-employed, 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

Are you under 18?

NoYes

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 yes to the previous question are you an elected official?

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

Requirement*

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 hereby certify that all of the information disclosed by me on this contributor form is true and accurate to the best of my knowledge and belief.

I certify that this contribution is made on my personal debit or credit card for which I have a legal obligation to pay and intend 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.

Click here to read Definition of Terms.

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