NARPM PAC Investment Card

NARPM® Advocacy Fund Investment Card
This form is for those making a one-time investment in the NARPM Advocacy Fund.

If you would like to set up a monthly NARPM Advocacy Fund investment, please click here.

If you are looking for NARPM PAC, please click here.
Is this a one-time or monthly investment?

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Investor Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

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Zip Code
Occupation/Employer
Email
example@example.com
Phone Number
Payment Information

NARPM Advocacy Fund One-Time Investment*

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Sign Date

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Date
By signing and clicking submit, I authorize the above transaction.

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Donations to the Advocacy Fund will be used, in part, to defray the operating costs of NARPM PAC, but will not be used to make contributions to, or to support or oppose, candidates.
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NARPM® Advocacy Fund Investment Card