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By checking this box, I confirm that the following statements are true and accurate:

1. I am not a foreign national who lacks permanent residence in the United States.
2. This contribution is made from my own funds, and not those of another.
3. This contribution is not made from the funds of a corporation.
4. This contribution is made on a personal credit card for which I have the legal obligation to pay, and is not made on a corporate or business entity card or on the card of another person.
5. My total contributions this year to The William Dorcena Committee do not exceed $500 (or $200, if I am a registered lobbyist).
6. I am at least eighteen years old.