Federal election law requires political committees to use best efforts to report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 in a calendar year. Contributions which exceed the limits permitted by, or which might not be allowed by federal law will not be use for federal elections.
* Required Information
 Contributor Information
 
  Title/*First/Middle/*Last/Suffix:    
  *Mailing Address:    
  Apt. Number (if applicable):    
  *City/*State/*Zip:    
  *Email:    
   
Please Add me to the E-mail list for
Maine Republican Party
  
 *Home Phone:  
 *Your Employer:  
 *Your Occupation:  
 Work Phone:  
 
 Contribution Information
 
I am willing to give
(please check 1 box -or- fill out the amount in the "Contribution Amount" field)
$25 $50
$100 $250
$500 $1000
  *Contribution Amount:  
$   Minimum: $10
  
 
  Frequency:   Once   Monthly  
  Until:        
 
 
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