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NOTE: State law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.
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All information on the YOUR INFO section of this form (the previous screen) MUST be completed in order to make an online donation. State law requires that we ask for your employer and occupation. If you don't have an employer or are retired, put N/A in BOTH the employer and occupation fields. If you are self-employed put "self-employed" in employer and describe your occupation. In order to process successfully, your credit card information must include the card number, expiration date and CVC security code (either a three- or four-digit number on the back of your card).
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The Democratic Party of McHenry County

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Authorized and paid for by The Democratic Party of McHenry County. A copy of our report filed with the State Board of Elections is (or will be) available on the Board’s official website (www.elections.il.gov) or for purchase from the State Board of Elections, Springfield, Illinois.

PO Box 1126, Crystal Lake, IL 60014, United States

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