Donate


Contribution Information


* Maximum individual donation: $2600 for the primary / $2600 for the general election.

* Indicates a required field.

 Amount:    *
 

Payment Information


Please enter you payment details. All fields are required for proper contribution processing.
 Name on Card:  *
 Card Type:   *
 Card Number:  *
 CVV:  *
 Expiration Date:   *   *

 

Personal Information


Please enter you personal information.

 First Name:  *
 Last Name:  *
 Address:  *
 City:  *
 State:   *
 Zip Code:  *
 Phone:  *
 Email:  *

 

Employment Information


*Federal law requires us to obtain and report your occupation and the name of your employer for donations $200  and over.
 Occupation:  
 Employer:  

 

Verify Eligibility


By submitting this contribution, I verify that I am a United States citizen or an individual lawfully admitted with permanent residence status and that this contribution is made on a personal credit card and not a corporate credit card or the credit card of another person.


Contributions or gifts to the Corey Stapleton Campaign are not deductible as charitable contributions for federal income tax purposes. Contributions will be used in connection with federal elections. They are subject to the limits and prohibitions of the Bipartisan Campaign Reform Act of 2002. An individual may contribute a maximum of $2,600 per election (the primary and general are separate elections). By submitting your contribution, you agree that the first $2,600 of your contribution is designated for the primary, and any additional amount up to $2,600 is designated for the general election. Corporations and individuals are strictly prohibited from reimbursing another person for making a contribution to Corey Stapleton.