Donate to Polk County Democrats

Personal Information

First Name *

Last Name *

Address *

City *

State *

Zip*

Phone Number *

Email *

Employer

Employer's City

Employer's State

Occupation

State election law compliance

I confirm that all of the following statements are true and accurate:

I am a United States citizen or a permanent resident alien.
I am making this contribution from my own funds, and not those of another.
I am making this contribution on my own credit card and not not with a card issued to anyone else.
I am at least 18 years of age.

Political Advertisement Paid For And Approved By Polk County Democratic Party

Contributions to Polk County Democratic Party are not tax deductible as charitable contributions for Federal Income Tax purposes. Florida State law requires us to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $100 in an election cycle.

Online contributions are enabled by Blue Utopia