Contribute by Mail With Check
 
 
Please fill out the following form, print it and mail it with your personal check made payable to Friends of Dick Lugar to:

Friends of Dick Lugar
P.O. Box 55952

Indianapolis, Indiana 46205

 Contribution Amount
_____ $2,300  _____ $1,000 _____ $500  _____ $250  _____ $100  _____ $50  ______ Other

Federal election law prohibits corporate contributions.

Individuals may donate up to $4,600 ($2,300 for the Primary Election and $2,300 the General Election).

 Contributor Information
Prefix *
First Name  * 
Last Name  * 
Suffix  
Address  * 
City  * 
State  * 
Zip  *  -
County    
Occupation  * 
Employer  * 
Home phone     - - ext.
Work phone     - - ext.
Cell phone     - -
E-mail  * 

*** 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 in an election cycle.

Donations are not deductible as charitable contributions for federal income tax purposes.

Contributions from foreign nationals are prohibited.

Paid for by Friends of Dick Lugar, Inc.

Not printed at government expense.

 
 

 
 

Paid for by Friends of Dick Lugar, Inc.

Not printed at government expense.