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$500.00

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• I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person.

• My contribution is made from personal funds, and not from the general treasury funds of a corporation, organization or national bank.

• I have not received any funds from another person or entity for the purposes of making this contribution.

• I am a United States citizen, or a Green Card Holder who has been lawfully admitted for permanent residence and this contribution will not be reimbursed by another person.

I confirm that the above statements are true and accurate.

$ 500.00

paid annually