PAC Contributions

Platinum Sponsors

Contribute $500/year to be a platinum sponsor. This is less than $1.50 per day that you are giving to EMPAC.

Gold Sponsors

Contribute $300/year on a recurring basis. This is less than $1.00 per day that you are giving to EMPAC.

Silver Sponsors

Contribute $150/year on a recurring basis. This is less than $0.50 per day that you are giving to EMPAC.

Contributions

Contributions of all sizes are accepted and appreciated. Please complete the form below with your donation if it is outside of one of the contribution amounts above.

Name *

First

Last *

Last

Phone *

Email *

Is this a corporate contribution? *

No

Yes

Name of Corporation

Address *

Address Line 2

City *

State * AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code *

How would you like to pay? *

Check

Online

Please mail all contributions to:
P.O. Box 1865 213 East Capitol Avenue, Suite 200, Jefferson City, MO 65101

Contribution Amount (in USD) * $100$50$250$500$1,000Other

How much would you like to contribute?

Total Contribution *

Anything additional you’d like to tell us?

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