BECOME A MEMBER
First Name:
Last Name:
Employer:
(required)
Occupation:
(required)
Phone Number:
Amount:
$
(
$125
= "SAPAC Sticker" membership)
You must check each of the boxes below to meet federal contribution requirements:
This contribution is made from my own funds, and not from those of another.
This contribution is not made from general treasury fund of a corporation, labor organization or national bank.
I am not a Federal Government Contractor, nor am I a Foreign National who lacks permanent resident status in the United States.
This contribution is made on a personal credit card or debit card for which I have a legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.
