Pledge

Please complete the pledge form below. We will send you a gentle reminder a month before your pledge due date. All contributions to the SCRHPAC will be directed toward supporting candidates running for local or statewide offices who will support access to family planning and other reproductive health services.

Please contact us at info@scrhpac.org if you have any questions!

Thank you,

SC Reproductive Health PAC

Fields marked with an asterisk(*) are required

First Name *

Last Name *

Home Address*

City*

State*

Zip*

Occupation*

Employer*

Daytime Phone*

Home Phone

Email Address *

I/we pledge to donate the following amount:*

I/we will fulfill my pledge by the following date (mm/dd/yyyy):*

Check here if you DO NOT wish your name to be published.

This pledge/donation should be listed as having been made by:

Contributions to the South Carolina Reproductive Health PAC are not deductible for federal or state income tax purposes and are limited to $3500 annually. Contributions are not acceptable from foreign nationals. Contributions will be used to support the election of candidates for South Carolina state and local offices. For more information, visit the South Carolina Reproductive Health PAC Web site: www.SCRHpac.org. Individuals and businesses may contribute up to $3,500 to the SCRH PAC per calendar year.