I am at least eighteen years old.

I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder).

I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person.

I certify that I have not contributed more than $2,700 to Provenzano for House District 79 2018 during this election. I declare that this contribution is for a campaign in the State of Oklahoma and is freely and voluntarily given from my own personal property. I further declare that I have not been directly or indirectly compensated or reimbursed for this contribution