Personal Information

Federal Law requires us to use our best efforts to collect the following information for each donor.

Contribution Information

Each individual may contribute up to $5,000 per year to Liberty PAC. Click HERE for more information on contribution limits.

$ .00

Purchase Information

Please select the number of tickets you want to buy and then enter the names that will appear on the tickets:

The code has been applied successfully: ${ unique_code } - ${ description }.

Sorry, the code you have entered is either invalid or expired.

Total amount to be paid: {{if saleAmount == totalAmount }} $${totalAmount} {{else}} $${totalAmount} $${saleAmount} {{/if}}

Ticket information

Please enter information about each ticket:

{{each tickets}}

${ $index + 1}. ${ } copy payer's info


Payment Information

After clicking "Make Donation" you will be redirected to PayPal's secured website to complete your donation. To pay by PayPal enter your email address and password and click "Log In".

After clicking "Make Donation" you will be provided with the instructions how to complete your payment.

Please send exactly ${ receiver.bitcoin_amount / 100000000 } BTC to ${ } within the next 5 minutes.

If you have bitcoin application installed, you can click or scan the QR code on the left.

Your browser will be redirected when payment arrives.

Federal law requires all online contributors to confirm that the following statements are true and accurate. If you cannot confirm each statement, you are not eligible to contribute.

1. This contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.

2. I am a United States citizen or a lawfully-admitted permanent resident.

3. I am making this contribution with my own personal funds, and I will not be reimbursed by anyone for this contribution.

4. I am not a federal government contractor.

5. I am at least 18 years of age.

By clicking “Make Donation” you agree to the terms above.

Contributions or gifts to Liberty PAC are not deductible as charitable contributions for Federal income tax purposes.

If you would like to send a paper check, please download and fill out THIS form and send it to:
Liberty PAC
P.O. Box 602
Lake Jackson, TX 77566


Remember to include your occupation and employer if your donation or aggregate donation(s) totals more than $200 per FEC rules.

If you have questions please email