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Become A Member

Please fill out the following contribution information and choose the type of membership below.

HHHDC uses PayPal for convenient and secure online transactions.

Please Note:

-Contributions are not tax deductible for federal income tax purposes.
-Your contribution will be used in connection with federal elections and is subject to the limitations and prohibitions of the Federal Election Campaign Act.
-Federal law requires political committees to use our best efforts to collect and report the name, mailing address, occupation and employer for each individual whose contributions exceed $200 in a calendar year. (Federal ID # C00403758)

By filling out the form and clicking the "send" button below you confirm that the following statements are true and accurate: 1) I am a United States citizen or a permanent resident alien. 2) This contribution is not made from the general treasury funds of a corporation, labor organization or national bank. 3) This contribution is not made from the treasury of an entity or person who is a federal contractor. 4) The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution. 5) If under 18: I am contributing knowingly and voluntarily with my own funds.

 

HHHDC Membership Form
First name  *
Last name  *
Occupation  *
Employer  *
E-mail  *
Phone  *
Cellular
Address  *
City  *
State  *
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Comments

SINGLE MEMBERSHIP CONTRIBUTION: $20.00

COUPLE MEMBERSHIP CONTRIBUTION: $30.00

 STUDENT AND SENIOR MEMBERSHIP CONTRIBUTION: $10.00