JOBS PAC Contribution Form

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You may make contributions to JOBS PAC online with our secure order form. Our security certificate features 128-bit SSL encryption so your information is safely viewed only by Manufacture Alabama.

Company Name:
Contact Name:
Mailing Address:

City:	State: Zip:
Phone:	( ) Fax: ( )

Name as it appears on credit card:	Type of Card:
Billing address of card (if different from above):
Credit Card Number:	Expiration Date (mo/yr):

JOBS PAC Contribution: $

JOBS PAC may accept corporate contributions, PAC contributions and individual contributions. Corporate contributions are limited to $500 per election cycle for the year in which the contribution is made. OR

Other Amount: Explaination:

Total Charges to card:

Standing Up For Free Enterprise • Standing Up For Alabama's Manufacturing Jobs • Affecting Outcomes in Montgomery