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Because of our devotion to constitutional principles, this campaign and web site are funded by private donations only. If you believe that Illinois needs campaign reform and accountability from elected officials and more integrity in government, please consider supporting this campaign by making a donation or more importantly, by volunteering your time to ensure that Randy is elected as our 41st Governor of the state of Illinois.

I apologize, but this is a two step process. You will have to enter your information twice. Because Illinois law requires us to collect the name, mailing address, occupation and name of employer, we have you fill out this form. Clicking on the submit button will send this information to the Stufflebeam for Governor committee so that they can submit this information to the Illinois Board of Elections. You will then be taken to another link where you will have the option of selecting to donate using PayPal or your own credit card.

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Name:

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*First Name

*Last Name

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*Street Address

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Additional Information:

Phone

/ (123-456-7890 / ext)

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Occupational Information:

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*Employer

Agreement:

All online contributors must confirm that the following statements are true. Your contribution cannot be accepted unless the box below is checked "YES".

This contribution is made knowingly and voluntarily from my own funds, not those of another and the contribution is not controlled by another individual or made from the proceeds of a gift given to provide funds to be contributed. This contribution is not made from the general treasury funds of a corporation, labor organization, or national bank. I am not a foreign national who lacks permanent resident status in the U.S., nor do I personally contract with the federal government for personal services or the sale of goods, land, or buildings. I affirm that this contribution is made on a personal account for which I have the legal obligation to pay, and not through a corporate or business entity card or the card of another. I affirm that I am over the age of 18 years of age.

*I agree to the above statements.