PaCAH Campaign Finance Form

This form must be completed by all those participating in a Campaign Finance event.

The Pennsylvania Committee for Affordable Housing is PBA's political action committee. PaCAH's responsibility is to raise and distribute funds for contributions to candidates for Pennsylvania's General Assembly and designated statewide races.

ALL INFORMATION BELOW MUST BE COMPLETED IN ACCORDANCE WITH THE CAMPAIGN FINANCE REPORTING LAWS.

PERSONAL INFORMATION

Name(Required)

First Last

Local Association(Required)

Email(Required)

Enter Email Confirm Email

If Other, please indicate which local association

Personal Address(Required)

Personal Address 2

Personal Address City(Required)

Personal Address State(Required)

Personal Address Zip Code(Required)

Email Address(Required)

Phone Number (please include area code)(Required)

EMPLOYER INFORMATION

Employer's Name(Required)

Your Occupation (i.e., Builder)(Required)

Employer's Address(Required)

Employer's Address 2

Employer's City(Required)

Employer's State(Required)

Employer's Zip Code(Required)

Employer's Phone Number (please include area code)(Required)

PACAH CANNOT ACCEPT CASH OVER $100 IN AGGREGATE FOR THE FISCAL YEAR IT IS PREFERABLE TO USE PERSONAL CREDIT CARD OR PERSONAL CHECK