PHCC PAC Prior Authorization to Solicit

Complete this form and submit it to the Plumbing-Heating-Cooling Contractors—National Association (PHCC) so that PHCC has permission to communicate with you about PHCC Political Action Committee (PHCC PAC) activities.

PHCC PAC plays an important role in representing the plumbing-heating-cooling (p-h-c) industry in the political arena. Federal law requires PHCC PAC to obtain written permission in order to share information and solicit contributions from member companies’ executive and management personnel.

Signing this form only gives your consent for PHCC to send you information about PAC activities; it does not obligate you or anyone else to make a contribution at any time for any amount.

PHCC PAC will only communicate its activities with you. PHCC PAC will not solicit your employees, nor will PHCC PAC communicate its activities with any PHCC members that do not give their consent. You may withdraw consent at anytime in writing via email to government@naphcc.org or mail to PHCC PAC, 180 South Washington Street #180, Falls Church, Virginia 22046.

PHCC PAC is a Federal PAC associated with the PHCC national office and is not affiliated with any PAC of a PHCC state or local chapter.

PHCC PAC Form

On behalf of my company, I authorize PHCC PAC to solicit personal and voluntary contributions. You have permission to solicit me for PHCC PAC contributions during the years indicated below:*
To select multiple years, hold the CTRL key and click the options.
Name*

First

Last
Occupation
Company Name*
Email*
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Phone
To sign, type your full name:*