Your Name:
Address:
City:
State:
Zip:
Precinct:
Phone:
E-mail:
Amount:
Occupation:
By Clicking "Send it!" You Agree To The Terms and Conditions Listed Below
$500.00 Maximum contribution from an individual, committee, corporation and/or business. Contributions from joint checking accounts are reported from the individual who signs the check (one check per signature please). Contributions must be from a US citizen or permanent resident alien (green card holder). Contributions over $100.00 must provide occupation information. Contributions are not tax deductible as charitable contributions for Federal income tax purposes. Contributions from minors are limited to $100.00. Contributions by cash or Cashier's Check are limited to $50.00. You can also send your contribution via US mail to: Campaign to Elect Brian Blair P.O. Box 17428 Tampa, FL 33682 Political advertisement paid for and approved by Brian Blair, Republican, for State Representative, District 47. The purchase of a ticket for, or a contribution to, the campaign fund raiser is a contribution to the campaign of Brian Blair.