Check this box to confirm that the following
statements are true and accurate:
1. This contribution is made knowingly and voluntarily from my own funds, not those of another and the contribution is not controlled by another individual or made from the proceeds of a gift given to provide funds to be contributed.
2. This contribution is not made from the general treasury funds of a corporation, labor organization, or national bank.
3. I am not a foreign national who lacks permanent resident status in the U.S., nor do I personally contract with the federal government for personal services or the sale of goods, land, or buildings.
4. I affirm that this contribution is made on a personal credit card for which I have the legal obligation to pay, and not through a corporate or business entity card or the card of another.
5. I affirm that I am over the age of 18 years of age.