Please contact ncohen@argentum.org with any questions

Personal and Employment Information

Prefix:
* First Name:  
* Last Name:  
* Address 1:  
Address 2:  
* City:  
* State:  
* Zip:  
Home Phone:
Cell Phone:
* Work Email :  
* Employer :  
* Occupation :  
* Required Field

Credit Card Donation

Donation Option:
* Total Amount ($):
  $50.00
  $100.00
  $250.00
  $500.00
  $1000.00
  $2000.00
  $3000.00
  $5000.00
Recurrence:
Duration:
Date:
Date
* Card Number:  
* Billing First Name:  
* Billing Last Name:  
* Billing Zip:  
* Card Expiration Date: /

By clicking "Contribute" you confirm that the following statements are true and accurate.

  • I am not a foreign national who lacks permanent residence in the United States.
  • I am not a Federal government contractor.
  • This contribution is made from my own funds, and not those of another.
  • This contribution is not made from the funds of a corporation or labor organization.
  • This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.
  • I am at least eighteen years old.

 

"Contributions to Argentum’s Silver PAC are not Tax Deductible"

Federal law requires us to use our best efforts to collect and report the name, address, occupation and name of employer of individuals whose contributions exceed $200 per annum.

Contributions are limited to $5000 per calender year.