Please note we cannot process your credit card contribution if the address provided does not match the address listed on your credit card statement.

Contact Information

First Name:

Last Name:

Address:: Address Line 1; Address Line 2; City; State or Province; Zip/Postal Code

Home Phone:

Email:

Employer Information

This information is required by law.

Employer:

Occupation:

If you are self-employed, please list the name of the entity that is on your paycheck. Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead.

We respectfully request that Partners of Partnerships and Members of LLC's contribute individually, instead of through their respective business entity.

Contribution Information

Amount:: $25.00; $50.00; $100.00; $250.00; $500.00; $2,700.00; Other:

: Make this contribution: Monthly

Payment Information

Accepted Credit Cards:

Card Number:

Card Expiration:

Confirm Eligibility

I confirm that the following statements are true and accurate:

I am not a foreign national who lacks permanent residence in the United States.
This contribution is made from my own funds, and not those of another.
This contribution is not made from the funds of a corporation or labor organization.
This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.
I am at least eighteen years old.

Federal law requires us to use our best efforts to collect and report the name, address, occupation and name of employer of individuals whose contributions exceed $200 per election cycle.

We may accept contributions from an individual totaling up to $2,500.00 per election.

Congressman Yarmuth does not accept corporate PAC contributions from drug, insurance or oil companies.