Contribute Online

To Contribute Securely Online: All transactions are processed securely through PayPal and a PayPal account is not required to process the transaction. PayPal accepts:   The organization has a legal obligation to collect certain information from you when you make a contribution according to the Texas Ethics Commissions reporting standards. Please fill out the fields on this page and then continue to make your contribution on the next page through PayPal.

Or, to download a form and contribute by mail, fax, or email, please click here and provide us with the requested information.
(Click here for Donation Information Form)

  Personal Information

Title: First Name: Middle Name: Last Name: Suffix: Mr. Mrs. Ms. Miss Dr. Rev. Ret. Jr. Sr. III IV Email: Home Phone: 123-456-7890 Home Address: Work Phone: 123-456-7890 Alternate Address: Fax Phone: 123-456-7890 Country:   Mobile Phone: 123-456-7890 -- Choose a Country -- United States Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Republic Bahamas Bahrain Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Canada Cape Verde Cayman Islands Chad Chile China Colombia Comoros Cook Islands Costa Rica Croatia Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador El Salvador Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia Gabon Republic Gambia Germany Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea Bissau Guyana Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lesotho Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Niue Norfolk Island Norway Oman Palau Panama Papua New Guinea Peru Philippines Pitcairn Islands Poland Portugal Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Vincent and the Grenadines Samoa San Marino São Tomé and Príncipe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Vanuatu Vatican City State Venezuela Vietnam Wallis and Futuna Islands Yemen Zambia   City: State: Zip/Postal:   AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI

  Employment Information

Contributor: Individual PAC

Employer: Occupation: Texas Election Law requires us to make our best efforts to also collect and report the occupation and name of employer of individuals whose contributions exceed $500 in a calendar year. If you are not employed enter NONE in the employer and occupation boxes. PAC Name: PAC Address: PAC City: PAC State: PAC Zip: Type of PAC: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI Select Federal State Texas Election Law requires us to make our best efforts to also collect and report the occupation and name of employer of individuals whose contributions exceed $500 in a calendar year. If you are not employed enter NONE in the employer and occupation boxes.

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  Legal Compliance

I affirm that the following statements are true and accurate: All online contributors must confirm that the following statements are true  and accurate. Your contribution cannot be accepted unless each statement applies  to you. If you are not able to affirmatively answer each question, you are not  eligible to make an online contribution to Hopkins County Republican Party. 1. This contribution is made from my own funds and not those of another. 2. This contribution is not made from the general treasury funds of a  corporation, labor organization or national bank. 3. I am not a Federal government contractor. 4. I am not a foreign national who lacks permanent resident status in the  United States. 5. I am at least 18 years of age. 6. This contribution is made on a personal credit or debit card for which I  have the legal obligation to pay and is made neither on a     corporate or business  entity card nor on the card of another