By submitting this contribution you are affirming that the following statements are true and accurate:

I am a citizen or permanent resident with work authorization of The United States. The funds I am contributing are my own personal funds or the funds of a Political Action Committee registered with the Texas Ethics Commission, and not those of another person. My contribution is not from the general treasury funds of a corporation, non-profit organization, or national bank. I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person.

State law requires the Mike Canon Campaign to use best efforts to collect and report the full name and address, principal occupation or job title, and full name of the employer of individuals whose contributions equal or exceed $500 in a reporting period. If you are retired, please enter “retired”; if you are unemployed, please enter “unemployed."