NCHBA BUILD PAC 2008

Pledge Form

2008 President Ray Rhodes is asking for our help to make BUILD-PAC the number one PAC in North Carolina. He wants all of us to contribute to BUILD-PAC and has made it easier by allowing you to pay monthly, quarterly, or in one lump sum.

Please complete the form below and remember that pledges made are for the calendar year 2008. If you opt for monthly or quarterly payments where that is an option below, the pledge needs to be paid/charged in full in 2008. Your contribution will be used to elect public officials who understand the issues facing our industry. Your pledge can make the difference!
Package   Billing Frequency        
    Annually   Quarterly   Monthly
Knights of the Round Table $4,000 $1,000 $333
Capital Club $2,500 $625 $210
President's Circle $1,000 $250 $85
VIP Circle $500        
Dollar A Day $365        
Million $ Club $100        
Another amount:        
All contributions must be from personal credit cards.
Name:
Address: City:
State: ZIP:
Company: Job title:
Local HBA: Phone:
E-mail:    


Contribution amount: $100
Card type:
Card number:    CSV code:  
Exp date: MM/YY    
Name on card:


North Carolina law requires political committees to report the name, mailing address, job title or profession and name of employer or employer’s specific field for each individual whose contributions aggregate is in excess of $50 in an election. (Defined as the period beginning the day after the general election up to and including the primary and the period beginning the day after the primary up to and including the general election)

Paid for by NCHBA BUILD-PAC