Contribution Form

Contribution Form

Thank you for your support! Campaign finance law requires that we collect certain information for reporting purposes. Fields marked with * are required. If this contribution is from a business please enter the business name as it appears on your federal tax return.
Full name or Business name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer
Required for donations over $500.00
Occupation
Required for donations over $500.00
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
So we can keep an eye out for your contribution, please select your payment method below.*

CheckCredit card, Apple Pay, Cash App (Please complete below. All electronic payments processed by Square)
We have multiple contribution options available. Check, credit card, Apple Pay or Cash App. Please use the options that is most convenient for you.

Please make checks payable to: Streight for Cecil

Mailing address: 827 E Old Philadelphia Rd, Elkton, MD 21921.

Contribution Rules:

1. I am at least 18 years old

2. This donation is being made from my own funds. These funds are not provided by another party or entity for the purpose of making this donation.

3. I am a U.S. Citizen, or I am a lawfully admitted permanent resident.

4. Maximum donation amount $6,000

Authority of Streight For Cecil - James Perry Treasurer

Payment details

USDEnter $ amount of your contribution.

Credit Card

Apple Pay

Cash App Pay