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If you are self-employed, please list the name of the entity that is on your paycheck.
Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead.


We respectfully request that Partners of Partnerships and Members of LLC's contribute individually, instead of through their respective business entity.

NOTE: Contributions are not tax deductible. Only U.S. citizens or legal residents may contribute.

* Required by State law and City ordinance for donations above $100. Self-employed persons must provide the business name if self-employed and the type of business in which they are engaged. Information required by law. Contributions are not tax-deductible for federal income tax purposes.


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