Legislative Contribution Form

SFNE Legislative Contribution Form

Name

Email *

Company

Address *

City

State * Zip Code *

Phone

SFNE has permission to include my company name and donation to the list of contributors that will be added to the website and in member communications.

Yes No

Contribution

$250	$500	$1,000	$1,500	$2,000
$2,500	$5,000	$7,500	$10,000	Other

Other Amount $

Preferred payment for donations over $2,000: Checks payable to Steel Fabricators of New England at 130 East Randolph, Suite 2000, Chicago, IL 60601. Memo: "Legislative Action."

Total Payment

Payment Method* Master Card VISA AMEX

First Name

Last Name

Credit Card #

Security # Exp. Month

Exp. Year

www.ssfne.org | admin@ssfne.org

Donations to the SFNE lobbying effort are not deductible as a business expense.