To make a contribution via check please print this form and mail to:
John Campbell for Congress
7700 Irvine Center Drive, Suite 800
Irvine, CA 92618

Contact Information
First Name:
Last Name:
Address 1:
Address 2:
Phone: ( ) -

Employment Information

Credit Card #:
Card Type:

Confirm Your Eligibility
I am a United States citizen or a permanent resident alien. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in a election cycle. Contributions to the organization are not deductible for Federal income tax purposes as charitable contributions. We can not accept corporate contributions. The contribution limit is $2500 per election for individuals and non-corporate partnerships. If you have any problems with making an on-line contribution or require more information, please contact Jennifer Fitzgerald at 714-402-3106.

Contact information provided will be transmitted to the committee. assumes no responsibility or obligation for the protection of the privacy of this information by the committee. Credit Card information will be used for processing only and will not be shared with the committee or any third party except for the express purposes of processing or as required by law.

This site utilizes full 128-bit encryption and fulfills the security requirements of our credit card processor to protect your privacy.

Paid for by Campbell for Congress