If you are retired, please indicate so under occupation. If you do not have an employer or are retired, enter "NA" in the employer box. If you are self-employed, please enter your occupation in the occupation box and enter "self-employed" in the Employer box.
In submitting the above, you certify that you are at least 18 years of age, that this contribution is made from your personal funds and not from the funds of another, that this contribution is made on a personal debit or credit card, not on the card of another or a corporate or business card, that this contribution is not from a labor organization or corporation, that you are not a federal government contractor, and that you are a United States citizen or permanent resident alien.
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The Keenan Committee P.O. Box 690-169 Quincy, Massachusetts 02269
P.O. Box 690-168
Quincy, MA 02269