Sunday, September 05, 2010
  •  

    Donate

    Use the form below to contribute via PayPal. Or, you can make checks payable to "Thomas Zaleski For Congress" and mail to:

    Thomas Zaleski For Congress
    PO Box 20757
    Sedona, AZ 86341-0757
  •  
    Prefix
  •  
    First
  •  
    Middle Initial
  •  
    Last
  •  
    Address
  •  
    Suite/Apt
  •  
    City
    State
  •  
    Zip
  •  
    Email
  •  
    Phone
  •  

    Employment Information


    To comply with Federal law, we must use our best efforts to obtain, maintain and submit the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in aggregate per election cycle.

    If you are retired, please enter N/A under Employer and Retired under Occupation ; if a homemaker, please enter N/A - Homemaker; if self-employed, please enter "Self-Employed" under Employer and describe your line of work under Occupation.
  •  
    Employer
    Occupation
  •  


    Contribution Information

    Individuals may contribute up to $2,400.00. Couples may contribute up to $4,800.00. Contributions are not tax deductible. Corporate contributions are prohibited.

    Federal law requires all online contributors to confirm that the following statements are true and accurate. If you cannot confirm each statement, you are not eligible to contribute to the Tom Zaleski for Congress campaign.

    1. This contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.
    2. I am a United States citizen or a lawfully-admitted permanent resident.
    3. I am making this contribution with my own personal funds, and I will not be reimbursed by anyone for this contribution.
    4. I am not a federal government contractor.
    5. I am at least 18 years of age.
  •  
    By checking this box, I confirm that each of the above statements is true and accurate.
  •  
    Donate Online
  •  
    Buy clicking on the "Donate" button you will not be charged any money. You will be taken to the PayPal site and given the opportunity to establish your support level for Tom Zaleski's campaign. We appreciate your help and look forward to a successful first district congressional bid.