Home / TRSAPAC Forms / Pledge Form Thursday, July 03, 2008
About TRSAPAC Campaign Contributions
Forms News Regional Directors

TRSAPAC Pledge Form

Yes, I want to help elect candidates to the U.S. Senate and U.S. House of Representatives who share our free enterprise legislative agenda.

Contact Information:
Name:   Occupation:
Company Name:   Employer:
Address:   City:
State:   Zip:
Telephone (H):   Fax:
Telephone (W):   EMail:
Gift Type:
Monthly Gift  
I want to become a member of the TRSA sustaining PAC member program and make a monthly gift of (if Other please specifiy amount $ *) to TRSAPAC by using my personal checking account, or personal credit card. I understand that each month my future gifts will be transferred directly to TRSAPAC from my account. If making donations by personal checking account, please attach a personal check for your first month’s gift**.
One-Time Gift
Donation Amount (if Other please specifiy amount $ *)
Attached is a personal check with a one-time gift to TRSAPAC.
Please bill my personal credit card for a one-time gift to TRSAPAC.
I make the following pledge of financial support. Please send me an invoice.
Annual Gift
 
I want to make a multi-year pledge. Please send me an invoice in the amount of (if Other please specifiy amount $ *)for the next years.
 
Credit Card Payment:
Legal Name (as listed on checking account or credit card):
Personal Credit Card: Visa MasterCard American Express
Account Number Expiration Date:

 

TRSAPAC:

Contributions to TRSAPAC are not tax deductible for federal income tax purposes. Contributions to TRSAPAC are for political purposes. All contributions to TRSAPAC are voluntary. You may refuse to contribute without reprisal. The proposed contribution amounts are suggestions; you may choose to contribute more or less, or not at all. TRSA will not favor or disadvantage anyone by reason of the amount contributed or the decision whether to contribute. Federal law requires political committees to report the name, address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year. Corporate donations are prohibited.

*The Federal Election Commission governs all contributions to TRSAPAC. Federal law states that an individual may contribute up to $5,000 per calendar year. For more information about TRSAPAC, please contact Larry Fineran.

**A record of my gifts will appear on my bank or credit card statement and I can increase, decrease, or suspend my giving by calling TRSAPAC at (703) 519-0029. All gifts provided to TRSAPAC originating as automatic clearing house transactions comply with U.S. law.

 
©2007 Textile Rental Association of America / 1800 Diagonal Rd., Suite 200 / Alexandria, VA 22314 / 703.519.0029 / trsa@trsa.org