Donate to Donavaon

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Donate Form

Fields Marked With * Are Mandatory

Amount of $*

Money Order or Check No.*

Contributor's Name*

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Your age*

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Email Addresss*

I hereby certify that I am NOT a principal of a state contractor or prospective state contractor, and that I am NOT a communicator lobbyist or a member of the immediate family of a communicator lobbyist. I understand that Connecticut law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan, and is not an otherwise prohibited contribution I further certify that all of the information set forth above on this form is true and accurate to the best of my knowledge and belief.