Support the Winchester Republican Town Committee!

Fundraising page for the Winchester Republican Town Committee, an organization in Connecticut that supports Republican elected officials and candidates who are committed to good government initiatives that improve our community.

Choose Amount

Email*

Phone*

First name*

Last name*

Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Employer: If multiple employers, and one is a state contractor, list the state contractor. If self employed, provide name of business (Example: Dave's Painting. Also, retired, unemployed, student or homemaker.)*

Principal Occupation: If self-employed, provide job description. (Example: painter. Others: retired, unemployed, student, homemaker.)*

Are you 18 years of age or older?*

Are you a communicator lobbyist?*

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

If "yes," are you an elected public official?

Are you the principal of a state contractor or prospective state contractor? If yes, please indicate which branch or branches of government your contract is with:*

If "yes," are you an elected public official?

Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services?*

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 this contribution is being made from my personal funds, is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution. Click here for terms & definitions.