Political Action Committee (OKPharmPAC)

Donation Form

Political Action Committee (OKPharmPAC)

Donation Form

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I confirm that the following statements are true and accurate:

This contribution listed about was freely and voluntarily given by me from my personal property.

This contribution is not made from the funds of a corporation or labor organization.

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I have not, directly or indirectly, been compensated or reimbursed for this contribution.

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