If you wish to fax in your pledge, please print this form and fax to the number below.

Your contribution to NAB PAC must be personal - not corporate. Contributions to this committee are not deductible on federal tax returns. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 in a calendar year. NAB PAC may not accept corporate contributions or foreign national contributions. The maximum annual contribution is $5,000 to NAB PAC. The amounts suggested are only guidelines and you will be neither advantaged nor disadvantaged by how much you contribute. All contributions are voluntary and all donations are appreciated.