LDF Contribution

Complete this OPA Legislative Defense Fund (LDF) Pledge Form to make a one-time or monthly contribution to our advocacy efforts. Choose the giving level that best suits you, and then fill in your billing information. OPA will bill your account in the middle of each month, and you will receive a receipt at the end of the year for reporting.
Unlike a Political Action Committee (PAC) fund, where personal funds are given directly to political campaigns, both personal and corporate funds are accepted by the LDF to enhance our government affairs endeavors, and there are no limits on the amount you can give. Contributions from corporate funds may be tax deductible as a business expense. Thank you!
Monthly Contribution Amounts:
$500 – Governor’s Circle
$350 – Chairman’s Champions
$250 – Senator’s Club
$100 – Representative’s Club
$50 – Legislative Aide

Contact Information

First Name
Last Name
Pharmacy Name
Preferred Email
Billing Information:
Type of donation:
Address
City State Zip
Home Phone Mobile

Please fill out contribution information for either a one-time or monthly contribution:

One-Time Donation

LDF One-Time Contribution Amount:

Monthly Donation

OPA will bill your account in the middle of each month, and you will receive a receipt at the end of the year for reporting.
LDF Monthly Contribution Amount:
**The OPA LDF can accept personal and corporate funds. No money from the OPA LDF goes to the OPA Political Action Committee or to political candidates. Contributions from corporate funds may be tax deductible as a business expense. Contributions are NOT tax-deductible as charitable contributions for federal income tax purposes.
   - denotes required fields