Donate

Donations to the NEPMA PAC can be made below.

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* Mandatory fields

*First name

*Last name

*Organization

*Email

Backup Email

Enter a backup email in case we cannot get through at your primary email address.

*Phone

Digits only

*Address Line 1

Address Line 2

*City

*State

*Zip Code

*Amount ($USD)

*Payment frequency

One-time

Monthly

Quarterly

Semi-annually

Annually

Comment

*Occupation