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Employer Info

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.
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(1) I am a United States citizen or a lawfully admitted permanent resident of the United States. (2) This contribution is not made from the general treasury funds of a corporation, labor organization or national bank. (3) This contribution is not made from the treasury of an entity or person who is a federal contractor. (4) I am at least 18 years of age. (5) The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution. (6) If I have a question about my contribution, I will contact Progressive Dane Treasurer, Matt Kozlowski, at admin@prodane.org

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