National Association of Surety Bond Producers (NASBP)

SuretyPAC Prior Authorization Form

The SuretyPAC is a multicandidate federal PAC, subject to and in compliance with FEC laws. Please complete and submit the form below, or download and mail completed form to:

Mailing Address:
National Association of Surety Bond Producers
7735 Old Georgetown Road, Suite 900
Bethesda, MD 20814-6242

Phone: (240) 200-1270
Fax: (240) 200-1295

Note: Once form has been filed with NASBP, SuretyPAC contributions should be mailed to the address shown above.

Name*

First Name

Last Name

Company*

Title*

Email*

Confirm Email *

Phone*

Federal law requires corporate members to grant prior authorization in order for the executive or administrative personnel of the member corporation to be solicited by SuretyPAC. The company may not approve a solicitation by any other trade association for these years. Granting prior authorization by submitting this form does not obligate you or anyone else in the company to make a contribution nor does it preclude employees of the company from contributing to local, state, ideological or national member PACs.

Select the year(s) prior authorization is granted:*

2024 2025 2026 2027 2028

You have the right to limit who is solicited in your restricted class.*

My company authorizes SuretyPAC to solicit only me. My company authorizes SuretyPAC to solicit the employees on the list below.

(Please check one option)

You have the right to limit who is solicited in your restricted class. - Copy

My company places no restrictions on the authorization. My company authorizes SuretyPAC to solicit only me. My company authorizes SuretyPAC to solicit the employees on the list below.

(Please check one option)

Other company officers and personnel:

Name(s)

First Name

Last Name

Email Address(es)

First Name

Last Name

First Name

Last Name

First Name

Last Name

For more information, please contact Larry LeClair at lleclair@nasbp.org or 240.200.1272.

By clicking submit, I hereby grant permission to SuretyPAC to solicit voluntary contributions from me and these other officers and personnel of our company. My company has not approved a solicitation by any other trade association during the calendar years indicated below. Clicking submit does not obligate me or anyone else to contribute to NASBP’s SuretyPAC.