1. 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.
2. I am a United States citizen or a lawfully-admitted permanent resident.
3. I am making this contribution with my own personal funds, and I will not be reimbursed by anyone for this contribution.
4. I am not a federal government contractor.
5. I am at least 18 years of age.
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.