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WRA Political Action Program Donation Form

The Wisconsin Restaurant Association Political Action Committee (WRA-PAC) supports candidates for public office who support the restaurant industry and policies that protect small businesses. Your donation to WRA-PAC will help to elect and re-elect lawmakers, both Republican and Democrat, who want to grow Wisconsin's economy and make it a great place to do business!

Note: Wisconsin law does not allow WRA-PAC to accept corporate contributions.

All fields marked with an " * " asterisk are required.


* First Name:
* Last Name:
* Restaurant/
Business Name:
* Home Address:
* City:
* State: * Zip:
Daytime Phone:
Email Address:
(Required for
confirmation email)
$25 $50 $100 $250 $500 Other

I understand that contributions to WRA-PAC must be from personal funds, and the credit card information below is not for a corporate account.

* Cardholder Name:

* Credit Card Number:
(no spaces or dashes)

* Card Validation Code:
Usually found on the back of the card after the card number.

* Expiration Date: /

* Cardholder Name:

Payments to the WRA-PAC are not deductible as charitable contributions.

 



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