Make a Donation

To make a secure online credit-card contribution, please complete the following form. Required fields are denoted with an asterisk (*). Occupation and employer information is legally required for campaign finance reporting.

Personal Information

First Name*
Last Name*
Email Address*
Address*
Address 2
City*
State*
ZIP code*
Phone

Employment Information

Campaign finance law requires that we collect occupation and employer information. If retired, a student, or otherwise not employed, please enter "None" for employer.

Occupation*
Employer*
Employer City*
Employer State*

If you would like to contribute by check, please make your check payable to "Friends of Neelam Gupta" and mail it to:

Friends of Neelam Gupta
P.O. Box 42307
Portland, OR 97242

You must include your occupation, employer, and employer city & state on your check.

Oregon offers an income tax credit to Oregon tax filers who contribute to qualifying state, federal or local political campaigns. The total credit is limited to $100 on a joint return or $50 on a single or separate return. Please see Oregon Secretary of State for details. Contributions or gifts to this campaign are not tax-deductible for federal income tax purposes.

$10	$25	$50	$100
$250	$500	$1000	$2500

Card Number*
Security Code*
Expiration*	/

Friends of Neelam Gupta

Make a Donation

Personal Information

Employment Information

Payment Information