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Contact Information

  • Cornerstone Society - $1,000 and above
  • Chairman's Circle - $500 - $999
  • Ambassador's Club - $250 - $499
  • Investor - $100 - $249
  • Friend - Up to $100


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NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information

Name on Card
Security Code
Valid Through
Address
City
State
Zip
Phone
Credit Card Email Address
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The contribution guidelines are suggested amounts. All BankPAC contributions are completely voluntary. You may decline to contribute without fear of reprisal. These funds may be used to influence elections. BankPAC contributions are not tax deductible as charitable contributions for income tax purposes.

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