Team Charlie Dent

1. 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.

2. This contribution is not made from the general treasury funds of a corporation, labor organization, or national bank.

3. 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.

4. I affirm that this contribution is made on a personal credit card for which I have the legal obligation to pay, and not through a corporate or business entity card or the card of another.

5. I affirm that I am over the age of 18 years of age.