SAFPAC Prior Approval

I hereby give permission for the Society of American Florists Political Action Committee to solicit contributions from (Please check one of the two options below):
*
- My company's principals and senior management level employees (including myself) during the year(s) indicated below.
- Only myself during the year(s) indicated below.
I certify that I am an American citizen and have the authority to give such solicitation consent and that the Society of American Florists PAC is the only trade association political action committee that has received such authorization from my company for the year(s) indicated.
Name
First Last
Position Title
Company Name
Email
Federal law requires a separate and specific consent for each year. Please sign the line beside every year for which you wish to give solicitation permission. Hold down the mouse left click to write your signature using the cursor. Click X to redo a signature.
Federal law requires a separate and specific consent for each year. Please sign the line beside every year for which you wish to give solicitation permission.
- 2024 Signature
- 2025 Signature
- 2026 Signature
- 2027 Signature
Consent*
I agree that checking these boxes for the years above will act as my signature.

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