By submitting the form above, I verify the following statements are accurate and true:

This contribution is made from my own funds and will not be reimbursed by any other person or entity;

This contribution is not made from the treasury funds of a corporation, labor union, or national bank or from any person or entity who is a federal contractor;

I am a U.S. citizen or lawfully admitted permanent U.S. resident ("green card" holder).

Contributions to Burchett for Congress are not deductible as charitable contributions for federal income tax purposes.

Individuals are allowed to contribute up to $3,300 per election, $5,600 per cycle. Federal multicandidate PACs may contribute up to $5,000 per election. Contributions from corporations, foreign nationals (without "green cards") and federal government contractors are prohibited. Federal law requires us to use our best efforts to collect and report the name, address, occupation and name of employer of individuals whose aggregate contributions exceed $200 per election.