Palumbo for State Representative

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Age (Please see restrictions regarding Contributions from Minors):*

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Are you a communicator lobbyist, OR the spouse or dependent child of a communicator lobbyist? (Communicator lobbyists may not make contributions to statewide or General Assembly candidates during the legislative session)*

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I certify that I am NOT a principal of a state contractor or prospective state contractor.

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

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