Pledges

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"Printable" Form

Please use the following form to pledge a donation to the Political Victory Fund.

This Link Will Take You To A Printable - Mail - in Form - OR - You can Safely and Securely Donate Online by Clicking Here

Please provide the following contact information:

* Name
* Street Address
Address (cont.)
* City
* State/Province
* Zip/Postal Code
* Principal Occupation
Principal Occupation - Job title/employer will suffice.
If you wish to not disclose this private information, please write, "decline to state".
Work Phone
Home Phone
FAX
 * E-mail
URL
* = A required field

Choose one of the following options:

$10.00 Donation
$25.00 Donation
$50.00 Donation
$100.00 Donation
Other - Please Specify -

Enter your check number in the space provided below.

*


 
GRNC-PVF needs your help to impact legislation coming up in the General Assembly and future elections. Please help by sending a donation to:
GRNC-PVF *
Grant Gardner, Treasurer
P.O. Box 10684
Raleigh, NC 27605
* Please note that registered political committees can take only personal checks or money orders. Corporate checks are prohibited.

 grncpvf@grnc.org

 

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