To Donate by Mail: Michael Screnock for Justice, PO Box 620066, Middleton, WI 53562 Donate Online Contact InformationFirst Name*Last Name*Email* Phone*Contribution AmountContribution Amount*$25$50$100$500$1,000$2,500$20,000OtherContribution Amount Mailing AddressAddress* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code OccupationPayment DetailsContribution Amount: $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Exp. Month010203040506070809101112 Exp. Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name By checking "Submit", I certify this is my personal credit card not funded by a corporation or other prohibited source. This contribution will not be reimbursed by anyone and will not cause my contribution to this candidate to exceed the $20,000 per individual contribution limit. Contributions are not deductible for federal income tax purposes. State law requires the collection & reporting of the occupation of each individual whose contributions exceed $200 per election cycle.