[vc_row][vc_column css=”.vc_custom_1664555321628{margin-top: -50px !important;}”][vc_column_text]CPDA-PAC Contribution

Thank you for supporting CPDAPAC. Payments must be made by personal credit card (no corporate payments or reimbursements) and all contributors must be US Nationals (citizens or permanent residents). CPDA member companies’ executive and administrative staff, stockholders and the CPDA executive and professional staff are eligible to participate in CPDAPAC.

All contributions to CPDAPAC are completely voluntary and must be personal. The amount any individual decides to contribute is completely up to them. Every contribution goes to support the industry.

If paying by credit card, a 3% convenience fee is added to the total on your invoice.

Name *

First

Last

Title *

Employer *

Phone Number *

Email *

Home Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Contribution Amount *

If paying by credit card, a 3% convenience fee is added to the total on your invoice.

Total

$ 0.00

Authorize.Net *

Card Number

MM123456789101112Expiration

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YY2324252627282930313233

Security Code

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