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* The Federal Election Commission requires an authorized representative of an ABA-member company to submit written approval in order for the executive and administrative personnel of that company to receive certain information and be solicited by BusPAC, the association's political action committee.

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* The company listed below hereby authorizes BusPAC, a political action committee affiliated with the American Bus Association, to solicit the company's executive and administrative personnel for contributions in the designated calendar year.

Company Name (or Subsidiary Name)

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* Company Representative

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* Company Contact Information

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* Signature
Please check the box below to affirm you are giving BusPAC prior approval.

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* Signature
Please check the box below to affirm you are giving BusPAC prior approval.

For additional information, please contact:

BusPAC 
c/o American Bus Association
111 K Street NE, 9th Floor
Washington, DC 20002-8110
BusPAC@buses.org

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