steves_paypal_donation

Please give us some information so that we can comply with campaign finance reporting requirements.

You may donate online by clicking on the donate button after you have filled out the form, or,

You may donate by check made out to "Steve for House 52" after filling out the form and mail it to :

Colorado Center Party

P.O. Box 272834

Fort Collins, CO 80525

We need the following info for both donations by check and donations online:

Please submit the information form whether you are donating by check or online. After submitting the form you can choose to donate online if you wish.

Citizens only *

I am a citizen of the U.S.A. and at least 18 years old

No Corporate donations *

I am not a corporation, ( if LLC please contact Steve )

My funds *

This contribution is from my own funds and will not be reimbursed

Name *

Address 1 *

Address line 2

City

State *

zip code

Occupation

Employer