Please fill out the form below if you would like to donate to the New Canaan Republican Town Committee.

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Do you have a contract with the state of Connecticut valued at $5,000 or more? *
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Do you certify that you are a U.S citizen or a foreign national with permanent resident status in the United States; and that this contribution is made with personal funds and is not being reimbursed in any manner; and that all of the information disclosed by you on this contribution form is true and accurate to the best of your knowledge? *
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