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Thank You for Your Interest in Contributing

Your contribution will be used to help to inform the public, spread the Republican message, generate quality candidates and help Republicans get elected to local, state and federal offices.
Donations to the Orange Republican Town Committee are governed by state law, which does not currently allow for credit card contributions.  We have provided this form to simplify the donation process and to comply with state law.

 

Contribution Directions:

1. Please fill out all applicable fields below. You may do this on-line or you may print this form out now   

    and fill them out by hand.
2. If you complete this form online, be sure to print the form before you hit the "SUBMIT" button.
3. Please make checks payable to: Orange Republican Town Committee
4. Mail the form, along with your check, to:

Orange Republican Town Committee
P.O. Box 632
Orange, CT 06477

 

Your Name

Address                   

City/State/Zip        

  

Telephone               

Fax

Email

Donation Amount

 

Are you a Lobbyist?  Yes  No

Main Political Interest:  Local     State     National

 

Comments

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Paid for by the Orange Republican Town Committee, Kevin Houlihan, Treasurer.