Mississippi state law requires the following information from donors. Please complete the form below.

What's your name?
What's your mailing addres?
What's your occupation?
Who's your employer?
How much will you donate?

"Individual, PAC, LLC, and partnership donations are unlimited. Corporations are limited to $1,000 per candidate per year. State law requires political committees and campaigns to report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in a calendar year. Contributions are not tax deductible."