National Cotton Council's
Committee for the Advancement of Cotton
(CAC)
PO Box 2995
Cordova, TN
(901) 274-9030

Credit Card Contribution Form

CAC is the political action committee for the National Cotton Council. CAC was established to support candidates for federal office who support the NCC's policies and positions.

Contributions to CAC are not deductible as charitable contributions for federal income tax purposes. Contributions to CAC are strictly voluntary and the contribution guidelines given are only suggestions. You are free to contribute more or less than the guidelines stated; NCC will not favor or disadvantage anyone by reason of the amount of their contribution or their decision not to contribute. You also have a right to refuse to contribute without reprisal.

Federal law requires the PAC to use best efforts to collect and report the name, mailing address, occupation, and employer name of each individual whose contributions exceed $200 in a calendar year. CAC cannot accept corporate contributions. Contributions from partnerships require the name of the partners and their percentage of participation in the partnership.

As this is a communication intended for members of the NCC's "restricted class" only, please do not forward.

The minimum contribution by credit card is $100. To contribute by credit card, please complete the forms below.

* Required Fields

GENERAL INFORMATION

     Individual OR Partnerships and Percentage: *
  Employer *
  Occupation *


PAYMENT INFORMATION
 
American Express, Mastercard, Discover, or Visa ONLY - All fields are required
 
    
 
     Contribution Amount: * - minimum contribution is $100
     Credit Card Number: * - numbers only, no hyphens
     Security Code: * - For American Express, this is a 4-digit number on the front of your card.
- For Mastercard or Visa, this is a 3-digit number on the back of your card.
     Expiration Date: * - enter as MMYY, such as 0305 for March 2005
 
Billing Information for this Credit Card
 
     Prefix
     First Name *
     Middle Name
  Last Name *
     Suffix
  Address *
  City*
  State *
  ZIP Code *

To complete your contribution, please click the below button. It may take a few seconds to process your credit card information, so DO NOT click your back button or re-click the button once it has started.



There are no refunds offered for contributions unless mandated by federal law.

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