Contribute to Scott Lively's Committee
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Thank you for your generous contribution to my campaign committee. Please take some time to review the guidelines below:
  • Contributions must be from your Personal funds by
    • Personal Check
    • Personal Credit Card
    • Personal PayPal Account
  • $1,000 maximum in a calendar year
  • No cash or money order contributions, please
  • We are required to have a name and address for each contributor
  • Contributions may not be from companies or corporations. However, if you are a sole proprietor of your own business, "Doing Business As," you may write a check from your business.
  • Contributions may be made from U.S. citizens only, 18 years or older
  • Contributions from American citizens living abroad are OK providing they have a Green Card
  • Contributions from foreign nationals are not allowed
  • Contributions from Massachusetts PACs are allowed
  • Include your employer and occupation if your cumulative donations in a calendar year are $200 to $1000
If you are paying by personal check, please fill in the form to the right and click the Submit button. Make check payable to:
CTE Scott Lively
Mail to:
Scott Lively Committee
P.O. Box 10512
Holyoke, MA 01041-0512

Your address is required. If not on your check, or has changed, please supply!
(Please include your telephone number)
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If paying by Credit Card or your PayPal Account, please fill in the form to the right and click the Submit button to continue to further payment instructions:

Full name *
Address * * = required field
City * State * Zip Code *
Telephone *
xxx-xxx-xxxx

Email Address *
I intend to contribute $
I intend to pay by:
Check
Credit Card
My PayPal Account

Legal Compliance:
As a Contributor, please know that you have to be using your own Personal Check, Credit Card or PayPal account and that your personal funds are the source of your contribution.

* I AFFIRM THAT THE FOLLOWING STATEMENTS ARE TRUE AND ACCURATE:
  1. I am a United States citizen or a permanent resident alien
  2. This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution
  3. I am making this contribution with my own:
    • Personal credit card and not with a corporate or business credit card or a card issued to another person
    • Personal PayPal account and not one used for a business
    • Personal check and not a corporate or company check
  4. I am at least eighteen years old
For contributions of $200 or more (total for 1 calendar year), please supply Occupation and Employer:
I have contributed less than $200 this year
I have given $200 or more this year
Add Occupation and Employer below,
or questions or comments:

Clicking the "Submit" button below will send your information to the Scott Lively Committee then continue to payment instructions.
Once at the payment instruction page, if paying by Credit Card or PayPal, complete the donation by clicking the yellow "Donate" button, which will take you to PayPal's secure website.