Please make personal or PAC checks payable to "James Wright for President, " and
mail to: James Wright Election Committee, P.O. Box 1972, New Caney, Texas 77357.
If you have questions, please call (281) 354-8033.
Name: _________________________________________________________ Amount: _______________ Mailing Address: _______________________________________________________________________________________
 City: ________________________________ State: _________________ Zip Code: ________________ REQUIRED: Occupation: ______________________________ Employer___________________________
Home Phone: __________________________Work Phone: __________________________________
Cell Phone: ____________________________________ Email:___________________________________
Solicitor of contribution:_________________________ If you prefer to pay by credit card, please complete the following: Credit Card Type: ______Visa _______MasterCard ______American Express
Name on card: _____________________________________________________________
Amount: __________________
Billing Address (if different): ________________________________________________________
Card Number: ____________________________________________ Exp. Date: Month_____ Year_______
YOU MUST ALSO SIGN BELOW:

ï‚· By signing below, I affirm that I am making this contribution with my own personal funds, and I am not using funds provided by any other person.

ï‚· By signing below, I am affirming that I am making this contribution on my own personal credit card and not with a corporate or business card or a credit card issued to anyone else (except for my spouse).
Contributor Signature (REQUIRED): ______________________________________________________________________
Second Contributor Signature for Joint Accounts (REQUIRED): ______________________________________________________________________
############Contributions to James Wright for president. are limited to $2,300 per individual ($4,600 per couple) and federal multi-candidate PACs may contribute $5,000 per election. A husband and wife may contribute a maximum of $4,600 by one check drawn from a joint account and signed by both individuals. James Wright for president. are subject to the prohibitions and limitations of the Federal Election Campaign Act. Contributions from corporations, national banks, federal contractors, and foreign nationals who are not admitted for permanent residence in the United States are prohibited. All contributions must be made from personal funds and may not be reimbursed or paid by any other person. PAC checks will be accepted. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer for individuals whose contributions exceed $200 in an election cycle. If this is a contribution from a husband and wife by one check drawn from a joint account and signed by both individuals, please provide the requested information below for both individuals. Contributions are not tax-deductible for Federal income tax purposes.
Thanks for making this donation,  James Wright Election Committee.