Home       About Dave       Christianity       Issues       Contribute       Volunteer       District Map

For
Credit Card
Contribution
Click Here

FREE Pocket Constitution for Donors
click here
Name of Donor?

Confirmation Number?

Mailing Address for Free Pocket Constitution?

What is your email address?

Comments:
















To send your contribution by mail, make your checks payable to
"Committee to Elect Dave Perry" and mail them to:

Committee to Elect Dave Perry
7885 Ponderosa Way
Sandy, Utah 84094

Name

Address

City, State, Zip

Email

Phone

For all contributions:
( . ) I confirm that the following statements are true and accurate.

1. I am a United States citizen or a permanent resident alien.
2. 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.
3. I am making this contribution with my own personal credit card (if by credit card), and not with a corporate or business credit card or a card issued to another person.
4. I am not a federal contractor.
5. I am at least eighteen years old.
6. I am not making this contribution from the general treasury funds of a corporation, labor organization or national bank.

The Federal Election Commission requires us to report the following for contributions over $199
Your Occupation: ________________________
Name of Employer: ________________________
Political Contributions are not tax deductible. Corporate contributions are prohibited by law.
We cannot accept anonymous cash contributions in excess of $50.00
© Committee to Elect Dave Perry ©