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Individuals and businesses other than corporations may contribute up to $5,000. While law firms and individual members of law firms may collectively exceed that limit we respectfully decline to accept amounts in excess of that figure. Thank you for your understanding.

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First Name:

Last Name:

Email:

Phone:

Address:

Address 2:

City/Town:

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Occupation:

Employer:

Spouse’s Law Firm, If Any:

I will make an online contribution.

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Expiration Date: *

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$50	$100	$250
$500	$1000	$1500
$5000