Donor Information - Preserve Our Nation

PRESERVE OUR NATION, LLC
Donor Information

Federal Law requires political 527s to report name, mailing address, occupation and name of employer for all individuals who contribute in excess of $200 in a calendar year.

In order to calculate your total donations throughout the year, we must record ever donation no matter the size. Only those that are above $200 per year will be identifed to the government.

Please read the following carefully!

By making this donation, I certify that: (1) This contributions is made from my own funds and will not be reimbursed by any other person or entity; (2) This contribution is not made from the treasury funds of a corporation, labor union, or national bank; (3) I am a U.S. citizen or lawfully admitted permanent U.S. resident; and (4) I am not personally a federal-government contractor.

	(* required)
	Name & Address
	Title:
*	First Name		First Name Required
	Middle Name Initial		Single Capital Letter
*	Last Name		Last Name Required
	Suffix
*	Street 1		Address Required
	Street 2
*	City		City Required
*	State		Select State
*	ZIP/Postal		ZIP Required ZIP Format Incorrect

	Employer Information
*	Occupation		Occupation Required
*	Employer		Employer Required
		Check if Self-Employed

Click the Submit Button only Once!