Robert Gorman
for UNITED STATES CONGRESS | 11th DISTRICT, ILLINOIS
Home Learn Issues Get Involved Sign My Petition Contacts

Press Release & News Stories







Thanks for your help!

Personal Information (billing information)
Last Name *
First Name *
Middle Name
Address *
City *
State *
Zip *
Phone*
Email *
Please add me to your electronic mailing list.
To comply with Federal law, we must use our best efforts to obtain, maintain and submit the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in aggregate per election cycle.


Information Required by Federal Law
Employer *
Occupation *
If you are retired, please enter N/A under Employer and Retired under Occupation ; if a homemaker, please enter N/A - Homemaker; if self-employed, please enter "Self-Employed" under Employer and describe your line of work under Occupation.


Contribution
Amount (do not include dollar sign) * $$25  $50  $100  $500      $1000  $2300  Other  



Payment Information
Card Number:
Card Type:
Expiration Date:
Card Verification Number:



Confirmation

I 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 not a Federal government contractor.
- This contribution is made from my own funds, and not those of another.
- This contribution is not made from the funds of a corporation or labor organization.
- This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.
- I am at least eighteen years old.

Federal law requires us to use our best efforts to collect and report the name, address, occupation and name of employer of individuals whose contributions exceed $200 per election cycle.

We may accept contributions from an individual totaling up to $2,300.00 per election.

Contributions or gifts to Robert Gorman for Congress are not tax deductible.







Contacts
20402 Fallingwater Circle
Frankfort, IL 60423
708.799.4200
campaign@gormanforcongress.com
Newsletter Sign Up
Email  
Name
Zip Code
Privacy Policy | Contacts | Site Map | a Gruseldog Design