Paid for by The Constitution Party of Pennsylvania, 408 West Chestnut Street Lancaster, Pa. 17603. Contributions are not tax-deductible as charitable contributions for federal income tax purposes. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and employer of individuals whose contributions exceed $200 in a calendar year. Contributions from foreign nationals, federal contractors, and corporations are prohibited.
Collection of Data Disclaimer
I agree to the Collection of my personal data being used for the purposes of distributing fliers about upcoming Constitution Party events and communicating other information relating to the Constitution Party. I understand that the information will only be accessed by Executive committee members and used only for purposes relating to the Constitution Party. I understand my data will be held securely and will not be distributed to third parties. I also understand that the collection of Data is required by Federal Law for the purpose of Campaign Finance reporting. I have a right to change or access my information. I understand that when this information is no longer required for this purpose, or at my request the Constitution Party of Pennsylvania will dispose of my data.
Mail-In Form
Print the following form or supply the same information by hand to send with your payment Be sure to scroll down on the form or click on full screen mode to view entire form