Check or Money Order made out to Darryl W Perry for Governor may be mailed with this form to:
Darryl W Perry for Governor
855 Hanover St #428
Manchester, NH 03104

To pay with Bitcoin or other Cryptocurrency, go to and set "Quantity" to desired donation amount, and pay with your preferred Cryptocurrency.

Your contribution to the Darryl W. Perry for Governor campaign will help us get on the ballot (we need 3,000 petitions evenly divided between the two Congressional Districts); attend campaign events across the Granite State; print signs, t-shirts, bumper stickers, etc; and spread the message of liberty to the voters of New Hampshire.

Everyone who donates or volunteers for the campaign and provides a RVN wallet address will receive PORC tokens at a rate of: 5 PORC per petition and 1 PORC per $1. PORC may also be distributed to volunteers. PORC will be redeemable for campaign signs, t-shirts, and more!

Contribution rules:
* You must be a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder).
* You must be making this contribution from your own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.
* You MUST provide your address; if you donate $100 or more, you are required to list your occupation and employer.
* Maximum donation is $5,000!

Total Amount
every for
Your recurring contribution will be processed automatically. You can specify the number of installments, or you can leave the number of installments blank if you want to make an open-ended commitment. In either case, you can choose to cancel at any time. You will receive an email receipt for each recurring contribution.
Name and Address
Needed to receive PORC Tokens
Required if donating more than $100
Required if donating more than $100