Annual Conference PAC Auction Donation

Annual Conference PAC Auction Purchase
Thank you for your contribution and purchase at the 2023 PAC Auction! GUCA has to report each purchase to the Georgia Government Transparency and Campaign Finance Commission. We ask that you complete the information below regarding your purchase for our records.
Contact*

First NameLast Name
Company *
Occupation or Position Held Within Company:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Is this purchase Personal or Corporate?*
PAC Auction Item(s) Purchase: *
Total Purchase Amount*
Should be Empty:

Annual Conference PAC Auction Purchase