Contributions

Please fill out the form below and press "Continue" for a printable copy to mail in.

Home Phone:
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Email Address:

Amount:
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First Name:
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Employer:
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Disclaimer:
State law and federal law prohibits our accepting corporate checks or cash over $50.00. We also need the name of your employer and your occupation for reporting purposes. Contributions can not exceed $1,000.00 per election cycle per individual contributor. Please make all checks payable to the Jim DeCesare Campaign Fund. Upon clicking "Continue", a copy of your information will be sent to Jim DeCesare.

Thank you for your support!