Donate

Please Complete and Submit the SEEC form

Address(Required)

If multiple employers and one is a state contractor, list the state contractor. If self-employed, provide name of business.
If self-employed, provide job description.
Method of Contribution(Required)

Are you a communicator lobbyist?**(Required)
**Note that under Public Act 10-1, communicator lobbyists and their immediate family members are permitted to give contributions of up to one hundred dollars in the aggregate to party committees.
Are you the spouse or dependent child of a communicator lobbyist?(Required)
If yes, are you an elected public official?
Are you a principal of a state contractor or prospective state contractor?(Required)
If yes, please indicate which branch or branches of government the contract(s) is with:
If you answered "yes" to the previous questions, are you an elected public official?
Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services?(Required)
Please check if you are UNDER 18:

Certification

Clear Signature
This field is for validation purposes and should be left unchanged.