Institute of Political Leadership

Thank you for supporting IOPL
We must use our best efforts to obtain the name, mailing address, occupation and employer of individuals who contribute.

Note that the IOPL is a 501(c)(3) tax exempt organization and contributions are fully tax deductible.
Fields marked with an asterisk(*) are required.
*Title / Salutation
*First Name
*Last Name
Organization Name
*Email  
*Confirm Email
*Phone
Business Home Cellular  

 I would like to sponsor a current IOPL Student
Student Name

 I am an IOPL Fellow
Occupation
Employer
 Retired - please check "Retired", enter "N/A" in Employer, and enter "Retired" in Occupation;
- If a homemaker, please enter "N/A" in Employer, and "Homemaker" in Occupation;
- If self-employed, please enter "Self-Employed" under Employer and describe your line of work under Occupation.

*Address 1
Address 2
*City
*State
*Zip Code
*Country US
 * Official Secure Internet (OSI) is the secure merchant processing gateway for credit card transactions on behalf of the Institute of Political Leadership. By checking this box, you acknowledge your understanding that your payment is a contribution made freely to the benefit of the Institute of Political Leadership and that the transaction will appear on your credit card statement as:
OSI-PAYMENT
.

Pledge Transaction Detail  
*Payment Detail:Donation to the IOPL
Billing Address same as above.
NOTE: You are still able to edit the information below if something needs to be changed.
*Billing First Name
*Billing Last Name
*Billing Address 1
Billing Address 2
*Billing City
*Billing Zip Code
*Billing State
*Billing Country
*Type:
*Number:
*V-Code:
(Where is my V-Code?)
*Expiry:
*Amount:
$ 1,000.00  $ 500.00  $ 250.00 
Sponsors ONE
Registration
$ 125.00  $ 75.00 
AMOUNT: $ (enter amount)
I Wish to Make My Pledge:
  One Time
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  Annually (on this day each year)
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 Please mail a tax receipt (*) for this donation.
 Please contact me. I am interested in learning more about volunteering my time to support the success of IOPL.
(*)NOTE: IOPL is a 501(c)(3) tax exempt organization and contributions are fully tax deductible for income tax purposes. NC law requires political organizations to use their best efforts to obtain the name, mailing address, job title or profession and name of employer of individuals whose contributions aggregate in excess of $50 in any year.

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