TSLA/PAC Contribution Form

 

First/Last Name: 
 
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Home Address: 
 
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Occupation: 
 
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Today's Date: 
 
________________________________________________________
Date for Invoice: 
 
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Please check one: 
 
____$500   ____$250   ____$150   ____Other (please note amount)

Please complete form and click submit to send PAC envelope to TSLA office. Please be sure to indicate amount you want to contribute and date you want to receive invoice or you may print this form out and return with your personal check. Checks should be made payable to and sent to:

TSLA/PAC
P.O. Box 9053
Austin, Texas 78766

TSLA/PAC is prohibited by law from accepting corporate contributions. Please make your contribution in the form of a personal check. This is not a statement. It is a solicitation for a voluntary contribution. Under current law, contributions to the TSLA/PAC are not deductible for federal income tax purposes.