Recurring Credit Card Authorization:
I authorize the MCNP Political Action Committee to charge my credit card once per year on today's date for the amount specified above. This authorization shall remain in effect until I request to cancel my annual donation or until the card on file is no longer active.
I likewise certify that I am the authorized user of the Credit Card that shall be submitted through this form. As long as the transactions correspond to the terms and conditions indicated in this authorization, I shall not raise disputes against MCNP PAC.
I understand that the maximum annual contribution to the MCNP PAC is $500 per individual and $1000 per couple and that this annual donation will count toward that amount.