Donate to Mount Olive Democrats Thank you for considering an On-line Donation to the Mount Olive Democrats, a Continuing Political Committee. Contribution Rules are listed below. Name* First Last Home Address* Street Address Address Line 2 City State StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Telephone*Email* Suggested Donation LevelsPlease Choose a Level$10.00$25.00$50.00$100.00$250.00Other (Enter below)Other Amount Credit Card American ExpressDiscoverMasterCardVisa Card Number Expiration Date Expiration Month010203040506070809101112 Expiration Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name Contribution Regulations Contributions are not tax deductible. Only U.S. citizen or lawfully admitted permanent resident (i.e., green card holder) may contribute as individuals Foreign-owned corporations or associations are prohibited from contributing. The maximum contribution to a Continuing Political Committee per person, corporation, union or association per year is $7200.00 Please Complete* Check if U.S. Citizen or Lawfully Admitted Permanent Resident Please list your Employer Name & Address*Please list your employer name and address. This information is needed for Election Law Compliance. Occupation*Please list your occupation. This is needed for Election Law Compliance. PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.