Donation Form

Please download(print) this form and mail it to:

John Kimble for Congress
P.O. Box 1303
Beltsville, Maryland 20704

Please make payable to: John Kimble for Congress

Name_______________________________
Address______________________________
City_________________________
State_____Zip Code____________
Phone number_________________
Email address__________________________

Please note that Federal Law allows each person to contribute $2300.00 per election cycle to a candidate.

Please accept my contribution of $_______________
Please make note of whether the donation is for the primary or the general election.

Federal Law Requires the below additional information:

Occupation_______________________________
Name of Business__________________________
Business Address__________________________
Phone__________________

Please note that contributions are not tax deductible.
Thanks for your support.