Express Candidate Selection

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Campaign finance laws require us to make best efforts to collect and report the name, mailing address, occupation and employer of individuals whose contributions exceed $200 in an election cycle. See further terms and conditions below.

First name *

Last name *

Country / Region *

Street address *

Unit/Apt No. (optional)

Town / City *

State *

ZIP Code *

Phone (optional)

Employer *

Occupation *

Email address *

Password *

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