Donor by Check

***If donating via personal check please print out this form and send with donation.***


 

Contributions or gifts to Wolf PAC are not tax deductible for federal income tax purposes.

Please make checks payable to “Wolf PAC” and mail to:

Wolf PAC
PO Box 621264
Charlotte, NC 28262

 

Name of Donor:  _________________________________________

Home Address:  ___________________________________________

___________________________________________

Date:  ____________________            Check Number: ________________

Amount of Contribution:  ____________

Name of Employer:  _________________    Occupation:  _________________________

Please check if Self Employed:  ___

Email: ____________________________

Contact Number:  _________________________

Signed:  _____________________________________________

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and employer of individuals whose contributions exceed $200 in a calendar year.

For Internal Use Only:
Location: ________________Date Processed:  _______________   Initials:  ______