GOP HAWAII

Secure Payment Form

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Contribution Summary:
Order Date: 10/23/17
Donation Amount:
Description: Donation for Hawaii Republican Party  
           
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Card Expiration Date: MMYY *
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Donor information:
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*If retired, type "Retired" in the two boxes below. If self-employed, please enter the name of your business.

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Legal Declaration:
 

By Clicking on the "Process Donation" button you confirm that the following statements are true and accurate:

1. I am a United States citizen or a permanent resident alien.

2. I am at least eighteen years old.

3. I am not a federal contractor.

4. This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.

5. I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person.

6. I am not currently entered into any contract with the State of Hawaii, any of its counties, or any of their departments or agencies.

   


Paid for by the Hawaii Republican Party
www.gophawaii.com
Not authorized by any candidate or candidate committee.

Contributions or gifts to the Hawaii Republican Party are not deductible for federal income tax purposes. Federal election law requires the Hawaii Republican Party to report the name, mailing address, occupation, and employer of each individual whose contributions aggregate in excess of $200 in a calendar year. Contributions from foreign nationals are prohibited. Funds received will be deposited into the HRP's Federal Account unless otherwise prohibited. Corporate and association funds received will be deposited in the HRP's State Exempt Account.(S)