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| Employment Information:
To comply with Minnesota law, contributors donating more than $100/person or $200/couple are required to provide their employment information. If you are retired, please enter N/A under Employer and Retired under Occupation ; if a homemaker, please enter N/A - Homemaker; if self-employed, please enter "Self-Employed" under Employer and describe your line of work under Occupation.
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| Employer: |
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| Occupation: |
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| Eligibility: |
I confirm that the following statements are true and accurate:
- 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.
- I am not a lobbyist.
- This contribution is not made from the funds of a corporation, a labor organization, or a political action committee.
- 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.
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| Joint Contribution:
If this is a joint contribution from you and your spouse, please enter the name of
your spouse below. Your own name or PayPal login will be requested on the next screen.
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| Spouse: |
First name:
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