X  
YES, I want to help!

 
I will contribute:
  $10,000 $5,000 $2,500
  $1,000 $500 $250
  $100 $50 $25
  $10 Other: $


I understand that contributions from corporations are prohibited. Contributions are not tax-deductible.

     
Contact Information
 

We are required to use our best efforts to collect and report the occupation and name and address of employer for each individual whose contributions exceed $100 in a calendar year. If you supply an e-mail address, a receipt for your contribution will be sent to that address.

 
* First Name :  
* Last Name :  
Spouse's Name :  
* Credit Card Billing Address :  
* City/St/Zip :  
Residence Phone :  
E-Mail :  
Occupation :  
Name of Employer :  
Employer Address :  
City/St/Zip :  
Business Phone :  
Business Fax :  
* - Required  
 
Recieve new updates on the Michigan Senate
Democratic Caucus!!
  Name
 
  Email
 
  Zip Code
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
| Email Webmaster | Privacy Policy |