HHAC Political Action Committee Donation (AOC)
To donate to the HHAC PAC online, please fill out the form below. All the fields are required, including the donation amount. Colorado law limits the amount an individual or entity can donate to a single PAC to $725.00 per election cycle.If you would like to donate by check, please complete and print this form and mail it, along with your check, to HHAC PAC, 12650 W. 64th Avenue, Unit E 301, Arvada, CO 80004.
PAC Eligibility
I am an employee of an HHAC member and am eligible to contribute to the PAC.
Name
First Name
Last Name
Occupation (Colorado state law requires this for all political action committee donations.)
Please select the type of entity you are donating from:
Individual
Corporation
LLC
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Amount
*
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USD
Description
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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