BAPS Public Affairs PAC Contribution Form

Thank you for your support of the BAPS Public Affairs, Inc. Political Action Committee (BAPS PAC). BAPS PAC solicits contributions only from BAPS Public Affairs, Inc. members and their families on a voluntary basis. Contributions should be made by members or their families using their personal funds only. Federal law requires that political committees use their best efforts to collect and report the name, address, occupation and employer for each individual whose contributions aggregate in excess of $200 in a calendar year. Contributions to BAPS PAC are not deductible as charitable contributions for federal income tax purposes.

Personal Information
Region*
Select your Region
BAPS Center*
select BAPS center
BAPS Center*
select BAPS center
BAPS Center*
select BAPS center
BAPS Center*
select BAPS center
BAPS Center*
select BAPS center
BAPS Center*

Enter your nearest BAPS center
Name*
First Last
Occupation*
Employer*
Cell Phone*
Email*
Donation Information
Enter Amount*

Donations made in US Dollars
Payment Information
Total Amount
$0.00
Credit Card*
Card Details
Cardholder Name
Billing Address*
Street Address Address Line 2 City State ZIP Code
Voluntarily commit*
- I voluntarily commit to contributing the above amount to the BAPS Public Affairs PAC in 2022. I confirm that I am a U.S. citizen or have been lawfully admitted to the U.S. with permanent resident status and that my contribution is made with my own personal funds and has not and will not be provided or reimbursed by any other person or entity.

BAPS Public Affairs PAC Contribution Form

Personal Information

Donation Information

Payment Information