ASSOCIATED EQUIPMENT DISTRIBUTORS
POLITICAL ACTION COMMITTEE
121 NORTH HENRY STREET - ALEXANDRIA, VA 22314
703. 739.9513 - FACSIMILE 703.739.9488
ELECTRONIC MAIL firstname.lastname@example.org
FEDERAL ELECTION COMMISSION NUMBER C00010124
AED PAC SOLICITATION CONSENT FORM
The Federal Election Campaign Act requires trade associations to obtain permission from members before they may
receive information about or be solicited for contributions to the association’s political action committee. Please note
that as a matter of AED policy this form must be signed before we can accept PAC contributions from you or any of
I hereby give permission for the Associated Equipment Distributors 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)
__ Only myself during the year(s) indicated below.
I certify that I have the authority to give such solicitation consent and that my company has not given solicitation
permission to any other trade association political action committee for the year(s) indicated.
Your Name (please print)
Your Company’s Name
Your Company’s Street Address
You Company’s City, State, and Zip
Your Telephone Number
Your E-mail Address
Federal law requires separate and specific consent for each year. Please sign the line beside every year for which you
wish to give solicitation permission.