Name:

Address:

Apt./Suite:

City: State:

Zip:

Type of contribution:
Event
General

Contribution amount: $

Please note: Contributions to Moran for Congress are not tax deductible. Individual couples may contribute a total of $9,600 each election cycle (each person may contribute $2,400 for the primary and another $2,400 for the general election). PACs may contribute a total of $10,000 ($5,000 for the primary and $5,000 for the general election). Contributions from unions, corporations, national banks, federal government contractors and foreign nationals not admitted for permanent residence are prohibited. Federal law requires political committees to report name, address, occupation and employer's name for each individual whose contribution aggregate is in excess of $200 per election cycle.

Occupation:

Employer's Name:

Employer's City/State: