Political Action Committee Form

Please complete the form below or if you prefer you may download a paper copy.


Full Name

Full Street Address


Email (required)


Full Work Street Address

Personal Check Contribution Amount

I understand that MHHA-PAC can accept personal checks. NO corporate contributions accepted.

Remit payment to: Michigan Harness Horsemens Association Political Action Committee

101 S Washington Sq., Suite 620 • Lansing, MI 48933 • (517) 349-2920 • Fax: 517-372-1501