Individual Contributor Certification Form
We are so grateful for your financial contribution to our campaign. Your contribution goes to help with the many activities needed to run a successful political campaign.
1) Fill out the below form with your name, address and a few required questions from the State Election Enforcement Commission.
Once you click "Submit" you will be prompted to click a redirect link to:
2) Contribute directly with your PayPal account or your Credit/Debit Card.
If you have any questions at all about this form or the contribution process, please e-mail
mike.sarah4bos@gmail.com and we'll be happy to help you out. Thank you again for your contribution, and I hope I'll see you soon at one of our in-person campaign events.
Mike and Sarah
Qualifying Contribution Certification Form:
The information below is required by the State of Connecticut to be collected from each contributor every time a contribution is made. All items are required.
To review Legal Definitions, click
https://seec.ct.gov/Portal/data/forms/SampleForms/definition_of_terms_party_committee_01042016.pdf