If you're an individual wishing to contribute to Patient Choice for South Dakota, please use the form below. If you wish to discuss greater involvement or a larger donation, or if you're an organization wishing to contribute, please contact us via our contact
First Name: *
Last Name: *
Email Address: *
Residential Street Address (1): *
Residential Street Address (2):
Credit Card Number: *
Credit Card Expiration Date (MM/YYYY): *
Card CVC: *
There are no limits on the amount of money that an individual can contribute to a Ballot Question Committee. South Dakota state law requires that all contributors provide their name and residence
address when making a donation to a Ballot Question Committee. Contributions are for lobbying and political expenditures and therefore not deductible for income tax purposes.
I confirm that I have read the above statements and the information I have provided is true and accurate.
Thank you for supporting Patient Choice for South Dakota (Initiated Measure 17)!
Donation is in U.S. currency.