Candidate Pledge Form — NO POLICE MONEY IN POLITICS

Take the Pledge

“I pledge not to take contributions from the police, prison and incarceration industry, not to seek their endorsement and to publicly reject their independent expenditures. I will instead prioritize the wellbeing and safety of every member of our community”

This means your campaign for election will not knowingly accept any contributions from the PACs, lobbyists, or SEC-named executives of police or prison companies, unions or associations — organizations whose primary business or mission is the policing or incarceration of Americans.

Name

First Name

Last Name

State

Office/Office Sought

Office Type

Party Affiliation(s) (if any)

Current Office (if any)

Next Primary Date

YYYY

Next General Election Date

YYYY

Staff Contact (name and title)

Staff Contact Phone

(###)

###

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Campaign Facebook Page URL

http://

Campaign Twitter URL

http://

Campaign Website URL

http://

Pledge Verification

I understand that in order to verify that the candidate has signed the No Police or Prison Money pledge, I will include a link below that features the pledge language on an official social media account or website OR email a photo of the candidate signing a copy of the pledge to pledge@nopolicemoney.org. NOTE: Simply answering "yes" or writing your name in this box is not enough to be considered a signer, as a separate, independent verification is needed. (We have no way to know who is filling out this form).