SHBA PAC

Contributions to the SHBA-PAC are not deductible for tax purposes. The Washington State Public Disclosure Commission requires that we collect donor addresses and individual employer and occupation information.

By submitting this donation, I certify that the entity making this contribution 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 the decisions regarding the contribution in any way.

Information

Personal Info

Name

On behalf of business

Business Name

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User Name

Password

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Gift Details

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Total Amount Today

Suggested Amount

Gift Amount

Frequency

Start Date

End Date

Total

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Gift Amount

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Frequency

Start Date

End Date

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Total

Total Amount Today

Address

Address 2

City

State/Province

Postal Code

Country

Additional Information

Message

Tribute/On Behalf Of

Recognition Name

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Payment Processing

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