IMPORTANT: If you would prefer to send a check, please click on the image above, print and complete the TRTC Contribution Form and mail it, along with your check, to TRTC,  101 Columbine Dr., Trumbull, CT 06611. Thank you!

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CERTIFICATION

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

I certify that as the individual contributor, I have provided my residential address, employer and principal occupation.

I certify that I am NOT a principal of a state contractor or prospective state contractor. Click here if you are uncertain of these terms. DEFINITION OF TERMS

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 this contribution is made on my personal debit or credit card for which I have a legal obligation to pay and intend to pay from my own personal funds; the name on the card is the name provided above, payment on this card is not made from the funds of a corporation, labor organization or any other entity.

I certify that this contribution is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution.

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Maximum individual donation, $2,000 annually.  Maximum business ad book donation, $250 annually.

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Paid for by Trumbull Republican Town Committee, Loretta Chory, Treasurer.


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