National Veterans Coalition -- Sign-up Form

NATIONAL VETERANS COALITION

The information requested below is required to comply with the rules of the Federal Election Commission (FEC). Failure to provide the required information can negate your membership and contribution, and subject both the contributor and this organization to "difficulties" with Federal agents.

Please enter the following information.

First Name:
Last Name:
Phone Number:
Email Address:

Employer:
Occupation:

Address Street:

Address City:
Address State:
Address Zip Code:

Credit Card Type:
Credit Card Number:
Expiration Date:

Select your desired donation amount. (Membership in the NVC is $20)

$20.00
$35.00
$50.00
$75.00
$100.00
$ Enter your own amount up to $26,700.00

Due to Federal regulations the following must all be checked as true.

a) I am citizen of the United States or have permanent resident status.

b) I am not a federal government contractor.

c) I am making this contribution out of my own personal funds - not out of corporate, national bank, or labor organization funds.

d) I am not making this contribution on behalf of another person or entity.

Select your preferences.

Save my Credit Card information

I would like to receive information by email

Federal Law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals whose contributions exceed $200. Political Contributions are not tax deductible. Corporate contributions are prohibited by law. Maximum contributions of $26,700 per person, per calendar year, are allowed.

Review our legal information here.