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AANC PAC CONTRIBUTION FORM

Note: Contributions can only be accepted from personal, (not business/corporate) checks or credit card accounts.

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Contribution Receipt

Contact Info:

Email Address:*

First Name:*

Last Name:*

Company:*

Occupation:*

Phone Number: *

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Home Address:

Address 1:*

Address 2:

City:*

State/Province:*

Zip/Postal Code:

Donation Amount:*

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AANC PAC contributions are not tax-deductible as charitable contributions for federal income tax purposes and are matters of public record. NC law requires political committees to report the name, mailing address, occupation, and employer of each individual whose contributions aggregate in excess of $50 per election cycle. All contributions to the AANC PAC are voluntary. You may refuse to contribute without reprisal.

Your AANC PAC Contribution confirmation will be sent to your email address. We will not sell or rent your information to any company.