Polit_form

Form to webmaster to add to APAC Web Site additional
Polish American Political Action Committees (PACs)

submit the following form

Title/Organization*:
Address I (# & Street)*:
Address II (if needed):
City*:
State*:
Zip*:	-
FEC ID#*:
Type of PAC:
Tel:	( ) -
Fax:	( ) -
E-mail Address*:
Web Site, if any:
Comments:

Information on Person submitting this form:
Name, Address*:
Tel*:	( ) -
E-mail Address*:

* - is a required field