Contribute to the Danbury Dems

Danbury Democratic
Town Committee

Main Street Headquarters
161 Main St.
Danbury, CT 06810
(203) 778-3661

Danbury Democratic Town Committee

Contribute to a campaign

To make contributions to any Democratic campaign, please mail your check to:

Danbury Democratic Town Committee
P.O. Box 164
Danbury, CT 06813

We cannot accept contributions without an accompanying physical address.
Please do NOT enter an address with a PO Box, as we will NOT be able to accept your generous donation.

Personal Information

Last Name * ____________________________________________

First Name * ____________________________________________

Middle _____

Address1 * ______________________________________________

________________________________________________________

City * ____________________________________________________

State ________________________ Zip * _______________________

Phone #s *

Home ___________________________________________________

Work ____________________________________________________

Fax _____________________________________________________

Information Required by State Law

Employer * ___________________________________________________________________

Occupation * __________________________________________________________________

Please Indicate Lobbyist Status * ______________________________

I or a business with which I am associated† has a contract >$5000 with the State of CT
__________

If you are retired, please enter N/A under Employer and Retired under Occupation; if a homemaker, please enter N/A under Employer and Homemaker under Occupation; if self-employed, please enter "Self-Employed" under Employer and describe your line of work under Occupation.
†A business with which one is associated refers to any business in which the contributor is a director, officer, owner, limited or general partner, or stockholder of 5% or more of the total stock of the business.

If you have any questions, please contact us. We also encourage you to volunteer!