Your Donation is Your Voice

A recent change to the Public Disclosure Commission rules for donations from non-individuals requires the following be completed and sent back in conjunction with your political Action Committee/AHCCW contribution. Thank you in advance for your cooperation, as we are unable to accept and process your contribution without this certification. By submitting this form, the authorized agent certifies that the below entity is not organized under the laws of, and does not have its principal place of business in, a foreign country. This contribution is not financed in any part by a foreign national, and foreign nationals were not involved in making decisions regarding the contribution in any way.