By submitting this contribution, I confirm that the following statements are true and accurate:
1. This contribution comes from my own funds to help the candidate qualify for the Democracy Voucher Program. This allows qualified candidates to receive public funds for campaign finance.
2. I am a citizen of the United Sates or a legal permanent resident (green card).
3. I am making this contribution from my own funds, and not those of another.
4. I am making this contribution with my own credit or debit card, and not with a card issued to anyone else or a business card.
5. I am at least 18 years of age.