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Employer Information

To comply with Pennsylvania law, we must use best efforts to obtain, maintain, and submit the name, mailing address, occupation and name of our contributors.

If you are retired, please use Employer: N/A and Occupation: Retired. If you are a homemaker, please user Employer: N/A and Occupation: Homemaker. If you are self-employed, please enter Employer: Self and your line of work.

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Legal Compliance
- I am not a foreign national who lacks permanent residence in the United States.- This contribution is made from my own funds, and not those of another.- This contribution is not made from the funds of a corporation or labor organization.- This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.- I am at least eighteen years old.