If you prefer to contribute with a check, please make the check payable to
Madia for U.S. Congress and send it to the following address:

Madia for U.S. Congress
P.O. Box 2459
Maple Grove, MN, 55311

To help us comply with federal reporting requirements, please include your occupation and employer on
the check’s memo line. If you are retired, write “none”. If unemployed, a student, a homemaker or other,
please specify. If you are self-employed, write “self”.

Only United States citizens and permanent resident aliens may contribute. The contribution must be from
your own funds. Funds may not be provided to you by another person or entity for the purpose of making
this contribution. Federal contractors may not contribute. A contributor may contribute up to $2300 per
election to a given candidate; a couple may contribute up to $4,600.

Contributions are not tax-deductible.

Thank you for your generous contribution!