Contributions to ANA-PAC are not deductible as charitable contributions for federal income tax purposes. Contributions to ANA-PAC are voluntary and used for political purposes. Contributions to ANA-PAC will be used in connection with federal elections and are subject to the prohibitions and limitations of the Federal Election Campaign Act. Any guidelines for contributing are merely suggestions and you may contribute more or less than the guidelines suggest or nothing at all. The Association will not favor or disadvantage anyone by reason of the amount of their contribution, or their decision not to contribute. You may refuse to contribute without reprisal. ANA-PAC only accepts money from eligible ANA members. Non-eligible donations will not be accepted. Federal law requires ANA-PAC to request and report the name, address, occupation and employer for each person whose contributions exceed two hundred dollars ($200.00) or more in a calendar year.

By making this contribution, you are confirming the following statements about your contribution:
1. This contribution is made from my own funds, either by credit card or check, which I have the obligation to pay and not from the funds of another person.
2. This contribution is not made from the funds of a corporation, labor organization or national bank. I am not a federal contractor.
3. I am not a foreign national who lacks permanent resident status in the United States.