Basic Information
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First Name
Required Field
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Last Name
Required Field
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Address 1:
Required Field
Address 2:
Required Field
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City:
Required Field
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State:
Required Field
AE
Alabama
Alaska
American Samoa
APO
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Foreign Address
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Marsh Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Zip:
Required Field
Home Phone:
Required Field
Work Phone:
Required Field
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Work Email :
Required Field
Invalid email address
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Employer :
Required Field
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Occupation :
Required Field
Prior Approval Years
Prior Approval
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Please indicate which years you would like to grant prior approval
You must select an option before submitting.
2025
2026
2027
2028
2029
Printable Prior Approval Form
If you would prefer to enroll offline please click the button below to download and print the NAMIC Prior Approval form.
List of Solicitable Employees
Required Field
Federal election law requires political committees to use best efforts to report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 during a calendar year. An individual may not contribute more than a total of $5,000 per calendar year to the committee. Federal law prohibits contributions to the committee from the general treasury funds of a corporation, labor organizations or national banks (including corporate or other business entity credit cards), from any person contributing another's funds, from a Federal government contractor, or from a foreign national who lacks permanent resident status. Contributions are not deductible for Federal income tax purposes.
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