By becoming a WAMPAC Diamond Club member, you not only help WAMPAC remain a powerful voice in Olympia, but you will also receive recognition, special election updates and opportunities to connect with elected officials. Your contribution will allow our PAC to build a strong base to support candidates whose priorities align with the house of medicine. All memberships run on two-year terms to coincide with election cycles. Contributions to WAMPAC are not deductible for federal income tax purposes. If you have questions about your membership or want to know more about supporting WAMPAC, contact Sean Graham, WSMA’s director of government affairs, at 360.259.4184 or sean@wsma.org.First Name(Required) Last Name(Required) Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email(Required) Occupation(Required) Employer(Required) City of Employment(Required) State of Employment(Required) Foreign National Certification(Required)State law prohibits foreign national financing or involvement in campaign-related contributions. (RCW 42.17A.417). I certify that my contribution is not financed in any part by a foreign national, and foreign nationals were not involved in making decisions regarding the contribution in any way. Donation Amount(Required) $5,000.00 $3,000.00 $1,000.00 $500.00 $250.00 Other Amount PriceEnter a custom donation amount Total Credit Card American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name Δ
