AGC PAC Donor Authorization Form

(You must complete this form prior to making a contribution)

Company Multiple–Year Authorization for AGC PAC

Date:

 

Yes! I support the efforts of AGC PAC. I hereby grant permission to AGC PAC to authorize voluntary contributions from the executive or administrative personnel of my company for this calendar year. My company has not approved authorization by any other trade association during this calendar year.

NOTE: Under FEC rules, you have the right to limit who is authorized in your restricted class.
No, AGC PAC may not ask me for a contribution.

 

First Name:
Last Name:
Company:
Address 1:
Address 2:
City:
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Email:
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2011 2012 2013 2014