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American Supply Association Political Action Committee (ASA PAC) Prior Approval Form

About You:
First Name
Last Name
Company
Email Address
Phone Number
PIN
Create and enter any four to ten digit or character code. This PIN will be used when you confirm your prior approval submission.
Your Approval:
Choose all that apply...
Yes, I confirm that my company has not given authorization to any other trade association this calendar year.
Yes, my company authorizes the ASAPAC to solicit me for contributions to ASAPAC.
   My company gives ASAPAC authorization to solicit the employees on the list I'll send to you.
or Please send me information on how to
solicit my employees on behalf of ASAPAC.
Valid Year(s):
Select the year(s) you want this authorization to be in effect.
2013
2014
2015
2016
ASAPAC is requesting a separate authorization for each year listed above. However, authorization can be granted for any or all of the years by clicking on the corresponding box(es) above. A company may authorize only one trade association federal political action committee (PAC) to solicit its employees during any calendar year. This authorization can be revoked at any time by emailing dhilton@asa.net. Contributions to ASAPAC will be used for political purposes. Only U.S. citizens or permanent residents can contribute to federal PACs. Participation is strictly voluntary and any guidelines are only suggestions. You may refuse to contribute without reprisal.

 
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