Individual Contribution Form

Thank you for your contribution to NC MPAC. All contributions help us further the goals of NC MPAC.

PERSONAL CONTRIBUTION INFORMATION

Corporate Checks and/or Corporate Credit Cards are NOT Permitted Under NC Law.

Voluntary contributions to the NCMPAC must be charged to a credit card for which payment is made with personal funds or made from another state or federal PAC registered with the NC State Board of Elections. Funds from corporations or business entities of any kind are prohibited by law.

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Employer*
Job Title/Profession*
Amount Contributed to NC MPAC
Other Amount
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Personal Card Confirmation*
- I affirm that the credit card being used for my donation to MPAC is personal and NOT a company card in accordance with NC Law.

**State law requires us to collect and report the name, home mailing address, occupation and name of the employer of individuals who contribute to NC MPAC. Contributions are not tax deductible as contributions for federal income tax purposes. Voluntary contributions to the NC MPAC must be charged to a credit card for which payment is made with personal funds or made from another state or federal PAC registered with the NC State Board of Elections. Funds from corporations or business entities of any kind are prohibited by law.

Contributions to NC MPAC are not deductible as charitable contributions for federal income tax purposes. As of 2019, an individual may contribute $6,400 per election, and couples may contribute $12,800 per election from a joint account, but such a contribution requires both signatures.

NC MPAC By-Laws Article II, Section 1: Each NC MPAC, Inc. director, or a political action committee with which they are affiliated, shall make a legal contribution of at least fifty dollars ($50.00) per year in order to remain as a director. NC Merchants Political Action Committee, Inc. PO Box 1030 • Raleigh, North Carolina 27602 • (919) 832-0811 • (919) 832-0812 (fax)