Lincoln Dinner Donation

1. Amount

$

2. Your information

***If you are purchasing more than one ticket or have a specific seating request, please note the instructions at the bottom of this form. More than 8 tickets will need to be purchased in separate transactions in order to accomodate seating preferences.***
Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

*** If you have purchased more than one ticket, in order to admit your guest to this event, please list their names in the fields provided below. We are unable to confirm tickets that do not have a guest name associated. If you are purchasing more than 8 tickets, please do so in separate transactions.***

***To request to be seated with a specific party, who are purchasing tickets separately, please specify in the field labeled "Table Request" at the bottom; we will do our very best to accomodate.***

Contributions are not tax deductible.

3. Payment information

I AFFIRM THAT THE FOLLOWING STATEMENTS ARE TRUE AND ACCURATE:
• I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person.
• My contribution is made from personal funds, and not from the general treasury funds of a corporation, organization or national bank.
• I have not received any funds from another person or entity for the purposes of making this contribution.
• I am a United States citizen, or a Green Card Holder who has been lawfully admitted for permanent residence and this contribution will not be reimbursed by another person.

Donations are not deductible as charitable donations for federal income tax purposes.
Please select an amount

Copyright © 2018 Republican Executive Committee of Volusia County. All rights Reserved.

Paid for by Republican Executive Committee of Volusia County and not authorized by any candidate or candidate's committee. Contributions or gifts to RECVC are not tax deductible. Unless otherwise prohibited by applicable law or as specifically directed by the donor, all contributions will be deposited into the RECVC federal account. Such other contributions will be handled in accordance with applicable law. RECVC, PO Box 9096, Daytona Beach, FL 32120.