Main Site Menu  
LindaOmobien.com
you are here Donation Form
 
 

View Linda's

Calendar of Events

Click here to volunteer for Linda Omobien's campaign.

Sign up for PayPal and start accepting credit card payments instantly.

Welcome: Are you ready to contribute to Linda Omobien's campaign? Please complete steps 1, 2 & 3 below.  Maximum donation amount is $300. If you have any questions, then please call us: 330.867.6571.

Donation Form

Welcome Guest | logout

Step 1 - Contribute now to Linda Omobien's campaign:

 

 

I would like to contribute:

$

Maximum amount $300
 
  
 

First Name: 

Last Name: 

Age: 

 

Email: 

City: 

State: 

Zip Code: 

Phone: 

() -   -    (please include area code)

  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.

Step 2 - Employment Information

Campaign finance law requires us to collect and report your occupation and employer.  In some cases, without this information we will be forced to refund your contribution. Please do not leave blank or enter "N/A".

Occupation

Employer

 

 

If not employed, please enter "not employed". Complete even if self-employed.

If not employed, please enter "none".
If self-employed, please enter "self".
 
 

Step 3 - Contribution Eligibility
 

 
  1. I am a United States citizen or a permanent resident alien.
  2. This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.
  3. I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person.
  4. I am not a federal contractor.
  5. I am at least eighteen years old.

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer for individuals whose contributions exceed $200 in a calendar year.

Note: Contributions or gifts to friends of Linda Omobien are not tax deductible.

 

For more information on Linda Omobien's campaign, click HERE to contact us.

Note: The information collected on this form will be used strictly by Linda Omobien's legal department.  We will not sell or distribute names or e-mail addresses to any third party.  All information will be stored on our secure web server, which is password protected.

return to top
  Powered by AlyAnya.com

BIO

 Volunteer

BLOG

Photo Album

Calendar

donations

  
2104 Brookshire Road, Akron, OH  44313-5300 | 330.867.6571 Last modified: 08/31/09