2016 Presidential Ballot Access Petition Request - Bronze Level

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$5.00

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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.

This is a contribution from a business.

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Contribution rules By clicking on the "Contribute" button, you confirm that the following statements are true and accurate:

I am not a foreign national who lacks permanent residence in the United States.
I am an individual, and this contribution is made from my own funds, not those of another.
I am at least eighteen years old.

State law requires that we collect and report the name, address, occupation and employer of individuals and businesses whose contributions exceed $100 in an election cycle. Donations are not tax deductible. Contributions from sources other than individuals must be made by check in the name of the organization. Contributions from foreign nationals are prohibited by law. I confirm that the above statements are true and accurate. Don't publish my donation on the website.

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Click the NEXT button to process your order for the Bronze Level Petition Kit: two official copies of the ballot access petition form, instructions, and promotional materials.

If you have questions please contact Carolyn Cosby, Ballot Access Petition Coordinator, at (770) 735-1568 or [email protected].

You can help put a man on the ballot in Georgia with the honor and wisdom necessary to make decisions that will affect the lives and livelihoods of Americans!

Castle 2016