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Tammy
Duckworth
Contributions to Duckworth for Congress are not deductible for federal income tax purposes. By law, contributions from corporations, labor unions or federal government contractors cannot be accepted. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle.
By
signing
above,
I
designate
my
contribution(s)
as
follows,
the
first
$2,500
for
the
2012
Democratic
primary,
and
any
additional
amount
that
I
contribute
up
to
$2,500
for
the
2012
general
election.
Also
by
signing
above,
I
affirm
that
I
am
making
this
contribution
on
my
own
personal
credit
card
and
am
not
making
it
with
a
corporate
or
business
credit
card
or
a
credit
card
issued
to
anyone
else.
I
am
using
my
own
personal
funds
for
this
contribution
and
am
not
using
funds
provided
by
any
other
person.
Federal
law
requires
us
to
use
our
best
efforts
to
collect
and
report
the
name,
mailing
address,
occupation
and
employer
of
individuals
whose
contributions
exceed
$200
in
an
election
cycle.
Name:___________________________________________________________________________________________________
Address:________________________________________________________________________________________________
Work
Phone:
_________________________________
Home
Phone:
_________________________________________
Cell
Phone:
___________________________________
Email:__________________________________________________
Employer:
____________________________________
Occupation:__________________________________________
Contributions
to
Duckworth
for
Congress
are
not
deductible
for
federal
income
tax
purposes.
By
law,
contributions
from
corporations,
labor
unions
or
federal
government
contractors
cannot
be
accepted.
Federal
law
requires
us
to
use
our
best
efforts
to
collect
and
report
the
name,
mailing
address,
occupation
and
name
of
employer
of
individuals
whose
contributions
exceed
$200
in
an
election
cycle.