RAM 2025 Campaign

*Please review your contact and residential information to ensure it is accurate before submitting your contribution.

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Email*

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Phone*

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* By providing your phone number, you are consenting to receive text message updates, including automated text messages, to that number from RAM 2025 Campaign. Message & Data rates may apply, and message frequency may vary over time. Reply "STOP" to opt out of these text message updates.

First name*

Last name*

Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Are you currently employed?

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Employer Name*

Principal Occupation*

If multiple employers and one is a state contractor, list the state contractor. If self-employed, provide the Name of Business. (Example: Dave’s Painting.) If self-employed, Provide Job Description. (Example: Painter.)

Age*

Are you a lobbyist?*

Are you the spouse or dependent child of a lobbyist?*

Do you or a business with which you are associated have a contract with the town, city or borough in which the candidate is running that is valued at more than $5,000?*

Purpose of Contribution

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 I have provided my residential address.

I certify that this contribution is being made from 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.

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