Democracy Engine
MA Republican House PAC

Credit Card

Four_cards

Electronic Check

(omit any dashes or spaces)
(omit any dashes or spaces)

Employment

We are required to use our best efforts to collect and report your occupation and employer.

Please do not leave blank or enter 'N/A'.

If self-employed, enter 'self'; if unemployed enter 'none' or 'retired'.

Please complete even if self-employed; enter 'none' or 'retired' if unemployed.

To your one-time donation of $  …
Your total one-time contribution will be

By clicking the donate button below, I acknowledge that my payment is being made to Democracy Engine, who accepts the responsibility of distributing the funds to my designated recipient(s) in accordance with applicable campaign finance laws. My card or bank statement will show a payment to “Democracy Engine” or “DEMENG” and if there are any issues or discrepancies with the payment or I wish to revoke the payment, I can contact Democracy Engine at support@democracyengine.com. Democracy Engine will charge each recipient an applicable service fee.


Contributions to political candidates and committees are not deductible for federal income tax purposes.

Contributions to the Massachusetts Republican House Political Action Committee are NOT deductible as charitable contributions for federal income tax purposes. Contributions from foreign nationals are prohibited. Contributions from Corporations are prohibited and as of January 1, 2010 partnership and LLC donations are prohibited. Donors who contribute $200 or more in a calendar year will be requested to provide their employer and occupation information. The Massachusetts Republican House PAC is a registered PAC with the Massachusetts Office of Campaign and Political Finance. Paid for by the Massachusetts Republican House PAC. Donations may also be made offline by mailing a personal check to: Mass Republican House PAC. P.O. Box 353, North Reading, MA 01864.
Democracy Engine
FAQ | PRIVACY | TERMS | ABOUT | CONTACT