By submitting this form, I affirm that the following statements are true and accurate:

This contribution is made from my personal funds and is not drawn on an account maintained by a corporation, labor union, or national bank.
I am a U.S. citizen or lawfully admitted permanent resident and this contribution will not be reimbursed by another person.
I agree that the first $2,600 of my contribution will be designated for the 2014 primary election, and any additional amount, up to $2,600, will be designated for the general election.
All donations are final.

Contributions to Jason Conger for U.S. Senate are not deductible for federal income tax purposes.