Your contribution will assist us in continuing our work.

You may contribute by check. Print a Donation Form, containing the information
shown below, fill it out and mail to the address provided..

Or, to make your donation Online.

        Name: ___________________________________________

        Address:  _________________________________________

        City: __________________________  State:  ______  ZIP:  __________

        Phone: (Home)  _____________________  (Work)  ___________________

        * Employer/Occupation (or firm):  _________________________________ 

        * Self Employed:  Yes: _________  No: ________

        * (State Law requires contributors to note their place of employment.)

        Please make checks payable to Committee to Elect Lou Raptakis and mail to:                                                                

Committee to Elect Lou Raptakis
2080 Nooseneck Hill Rd.
Coventry, RI 02816

RI State Law prohibits the acceptance of any corporate or business checks for campaign contributors.
Only personal and PAC checks are an acceptable form of contribution.