LEGISLATIVE CONTRIBUTION
			
			Legislative Contribution Form 
				
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				Contributions Home Page
				
				Please tell us how you can help with a 
				contribution to our legislative political friends for the 
				upcoming elections in Alabama.  Today we only need to know 
				the amount you can give, so take a moment and complete the short 
				form below.  We are not asking that you send money in this 
				request.  We will send more detailed information over the 
				next few days.
				IMPORTANT -- Please note the following 
	information!
				
					
					-  We ask that you contribute 
					a minimum of $175 per store with a cap of 25 stores.  
					If you have more than 25 stores the minimum requested amount 
					is $4,375.  Of course, you can contribute more.  
					The maximums are quite high.  If you believe you may 
					want to max out the contributions (more than $20,000), 
					please contact us as noted below.
					
					After you make your pledge, please
					
					click here for instructions in processing your pledge.
					
					-  Checks will be made to the 
					PAC set up by our lobbyist -- The Rapides PAC.  If you 
					wish your check (or checks) to be designated to a particular 
					legislator or you wish to deliver your check personally, 
					select Yes to the question below.
					
					- If you have already made your 
					contribution, please complete the form so we have an 
					accurate count.
					
					- We are sure you may have 
					questions.  We will get more information out in the 
					next few days.  In the meantime,  if you have 
					immediate questions please contact Max Wood at 205-733-9926.
					
					
					Tip For Entering.  Hit the tab key after entering 
					the info for each box.
				
				Name (First Last)               
				
				Telephone (xxx-xxx-xxxx)   
				
				Email  Address                    
				
				Company                            
				
				Contribution Amount           
				
				Would You Like To Personally Deliver Your Contribution (Y/N)            
				
				Comments  (up to 150 characters) as noted below:  
				
				                
				
				Click submit below after you enter all of the information 
				and you know it to 
				be correct.
				
				
				If you have questions,
				click here and drop 
	us an email or call 205-733-9926.