ATPE-PAC Donation Form


Thank you for your support of the ATPE Political Action Committee. ATPE-PAC solicits contributions only from ATPE members, employees and their families on a voluntary basis. Find out more about the ATPE-PAC and how donations are used.

Per federal income tax rules, ATPE-PAC investments used for political purposes are not tax-deductible.

Please complete the following information:

Required fields *

Member Number
First Name
 
Last Name
 
Home Address
 
City
  
State
Zip Code
Phone Number
Employed by an ISD?

ISD Name
 
Occupation
 
Email Address
Amount






Other $
Frequency



Credit Card



 
Name of Cardholder
(as it appears on card)  
Card Number
Expiration Date
(mm/yy)
For security purposes, please enter the numbers indicated
 Security code