DEALERS ELECTION ACTION COMMITTEE

CONTRIBUTION AND PLEDGE FORM

 

Yes, We need a strong voice in Government, enclosed is my personal check/credit card made payable to DEAC

$5000 The Presidents Club

$1000 Gold Eagle

$500 Silver Eagle

$250 Bronze Eagle

$120 Contributing Member

$__________ (Other)

I prefer to contribute $__________.

     quarterly  annually in the month of __________

*All pledges are continuous unless changed or revoked. 

(I understand I will be sent a reminder when my pledge is due)

I prefer to use my personal credit card*:

Visa     MasterCard     American Express

(All credit card pledges are automatically charged when due; no reminder will be sent)

Account #: ______________________________________

Expiration Date: __________________________________

Telephone:

______________________________________

City/St/Zip:

______________________________________

Signature:

______________________________________

Date:

______________________________________

Full Name:

______________________________________

Dealership:

______________________________________

Title:

______________________________________

Address:

______________________________________

Federal law requires that political committees report name, mailing address, occupation and name of employer for each individual whose contribution aggregate in excess of $200 in a calendar year.
Contributions are used by Dealers Election Action Committee to Provide financial assistance to the election campaigns of pro-automotive candidates to the U.S. House and Senate.  Under federal law all contributions must be personal, and all contributions to the Dealers Election Action Committee must be members of NADA.  Contributions must me voluntary and may be of any amount elected by the contributor.  The amount of contribution, or the refusal to contribute, will not benefit or disadvantage the solicitee.  Business or corporate checks cannot be accepted, and will be returned by DEAC.  A copy of our report is filed with the Federal Election Commission in Washington, D.C. and is available for purchase.