PAC Contribution Form

The WA-ACEP PAC supports efforts to strengthen emergency medicine at the local and state levels in a bipartisan manner.

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Please indicate whether this donation is being made on behalf of yourself or multiple individuals in a group.

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State law prohibits foreign national financing or involvement in campaign-related contributions. (RCW 42.17A.417).

I certify that my contribution is not financed in any part by a foreign national, and foreign nationals were not involved in making decisions regarding the contribution in any way.