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Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Contribution limits are $10,000 per person or corporate entity ($5,000 Primary and $5,000 General). Contributions to the Ryan Hampton Campaign Committee are not deductible for federal income tax purposes. Contributions from foreign nationals are prohibited.

I AFFIRM THAT THE FOLLOWING STATEMENTS ARE TRUE AND ACCURATE:

I am a United States citizen or a permanent resident alien.
This contribution is made from my own funds and not with funds provided to me by another person.
I am an authorized representative of the entity making this contribution.
The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.

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