I would like to contribute to Jessie Steigerwald’s campaign for the Lexington School Committee. *indicates a required field *Full Name: First Name Last Name *Residential Address: Street Address Street Address Line 2 City State Zip Code Phone Number: Area Code ‐ Phone Number Email: ex: myname@example.com *My age is: 18 or older 17 or younger If you are contributing $200 or more in any calendar year, please list your employer and occupation:* Employer Occupation By checking the box below, I hereby certify as follows: The contribution I am making is from my own funds and not those of another person. The contribution will be funded from a credit card or debit card (not from another source such as a bank account transfer) and I am responsible for paying all charges incurred or using that credit card or debit card. I am a citizen or lawful permanent resident of the United States. I am making this contribution knowingly and voluntarily and it is not made by or associated with a corporation, trust, foundation, association or other legal entity, including a political committee. I agree with the certifications above* (clicking on the submit button will bring you to the PayPal button) Thank you for your support! Information marked above with an asterisk is information that we are required by law to collect. Other information is optional. Share this:EmailPrintFacebookDiggReddit