General Fund

Other

Email*

Send me updates by email(not needed for receipts)

Phone*

Send me updates by text*

* By providing your phone number, you are consenting to receive text message updates, including automated text messages, to that number from Redding-Georgetown DTC. 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*

Middle name

Title

Suffix

Residential Address*

Apt, Unit, etc.

Country*

This form only accepts US addresses.

City*

State*

Zip*

Are you currently employed?

YesNo

Employer Name

Occupation

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

Are you a principal or state contractor or prospective state contractor? If yes, please check here.*

If you answered yes to the previous question indicate if you are a contractor for the Legislative and/or the Executive branch of government.

If you answered yes to the any of the previous questions, are you an elected public official?*

Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services? Check to indicate yes.*

Check here if you are over the age of 18. If you are between the ages of 13 and 18, your maximium contribution is limited to $30.00.

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