Colorado law requires us to collect certain information about you when you contribute to the campaign.

For contributions of $20 or more, we must collect your name and address.

For contributions of $100 or more, we must collect your name, address, occupation and employer.

These limits are aggregate, meaning if you donate $50 today and $50 next month, we will hit the $100 aggregate total, requiring reporting. For this reason, we will collect occupation and employer information for each donation.

If you are mailing us your donation, please make a check payable to "Applegate for JEFFCO Kids" and send to:  P.O. Box 16371  Golden, CO 80402

Thank you for your contribution to the campaign!


Contributor Information

First Name: Last Name:
Email: Phone:
Address 2:
Zip Code:
Occupation: Employer:

Please Select:


Other Amount $:

Payment Information

Visa, MasterCard, Discover, American Express


Applegate for Jeffco Kids.
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