Per Michigan election law, please fill out your First and Last Name, Street Address, City, State, Zip, and Country. Next, even though it is optional, please give us your phone number and email address so that we may keep you notified of upcoming events and schedules. Finally, if you donate over $100, Michigan election law requires us to record your occupation, company name, and company location. If you are retired, please check the box, fill out the first part of the form, and click on “Proceed to Donate”. Thank you for your support