NARPM PAC Monthly Investment Form

NARPM PAC Monthly Investment Card
This form is for those who want to set up a monthly investment in NARPM PAC.

If you would like to make a one-time investment in NARPM PAC, please click here.

If you are looking for the NARPM Advocacy Fund, please click here.
Investor Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Occupation/Employer
Email
example@example.com
Phone Number
Please enter a valid phone number.

NARPM PAC Monthly Investment

USD for each month

Duration

Please run monthly until further noticePlease run monthly until the date below
Date

MonthDayYear
Please leave blank if you want to run this until further notice.
By signing below and clicking submit, I authorize the above transaction. NARPM® PAC cannot accept contributions from or in the name of a corporation. Only personal contributions received from individual donors can be used to support candidates. Any contributions received for NARPM PAC from a corporation will be returned. With my signature, I certify that I am a U.S. Citizen or Permanent Resident and that my NARPM PAC contribution is being made with personal funds.
Signature

Clear
Contributions to NARPM® PAC are not tax-deductible as charitable contributions for federal income tax purposes. Contributions from non-permanent resident foreign nationals are prohibited by federal law. All contributions to NARPM® PAC are voluntary. You may refuse to contribute without reprisal. Contributions to NARPM® PAC are used for federal election purposes, and may be used in connection with state elections, as well. *A contribution in the amount of $5,000 per person is the maximum allowed per year. If this solicitation suggests a contribution in a certain amount, it is only a suggestion, and you may give more, less or not at all, and the amount given or refusal to give will not benefit or disadvantage you.
Should be Empty:

NARPM PAC Monthly Investment Card