Please complete, print, and mail this form with your check to:
Halfmoon Republican Committee
17 Cardin Drive
Halfmoon, NY  12065 

Please click on the form below to be redirected to a printable form page.

Any assistance you can provide would be very much appreciated. 
Thank you.

* FUNDS RECEIVED IN RESPONSE TO THIS SOLICITATION WILL BE SUBJECT TO FEDERAL,
STATE AND LOCAL CONTRIBUTION LIMITS, REPORTING REQUIREMENTS AND/OR RESTRICTIONS.