Contribute to the Campaign

Please contribute today to Keith’s campaign for Westfield Town Council.

You can donate on-line through PayPal below, or if you are more comfortable making a donation by mail, please make your checks payable to “Loughlin for Council” and send to:

Dona Panagos, Treasurer

6 Bell Drive

Westfield, NJ 07090

Thank you for your support!

Note: Fields with bold labels are required

Personal Information
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Telephone #:

Employment Information
Occupation:
Employer Name and Address:
	To comply with New Jersey law, contributors are required to provide their employment information. If you are retired, please enter N/A under Employer and Retired under Occupation ; if a homemaker, please enter N/A – Homemaker; if self-employed, please enter “Self-Employed” under Employer and describe your line of work under Occupation.

Contribution Amount

Amount:

$25

$50

$75

$100

$250

$500

By submitting my contribution, I confirm that the following statements are true and accurate:

• I am not a foreign national who lacks permanent residence in the United States.

• This contribution is made from my own funds, and not those of another.

• This contribution is not made from the funds of a corporation or labor organization.

• This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person.

• I am at least eighteen years old.

Paid for by Loughlin for Council, Dona Panagos, Treasurer, 6 Bell Drive, Westfield, NJ 07090

Contribute to the Campaign

Personal Information

Employment Information

Contribution Amount