1. Contact Information

First name	Last Name

Address

City	State	Zip

Country

Email	Phone
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2. Employment

Federal law requires we report the name, mailing address, occupation, and name of employer for contributions of more than $200.00 per election cycle.

Occupation	Employer

3. Specify an Amount

Individuals may contribute up to $2,300.00. Couples may contribute up to $4,600.00. Contributions are not tax deductible. Corporate contributions are prohibited.

$10	$20	$50	$100
$200	$500	$1000	$2300

4. Confirm Your Eligibility

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 George Lilly For Congress Campaign Committee.

1. This contribution is made on a personal credit or debit card or checking account or other method of payment via PayPal 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.

5. Donate Online With PayPal

Once you have completed all of the above Steps 1-4 then click on the PayPal button below to enter your credit card and/or bank information. You do not have to register with PayPal to make your donation.