Andrew Hayes for Assembly 2024 - Online Contributions by eFundraising Connections

click image to download invitation.

GraniteLion

Wednesday, June 19 2024

1 Contribution

Have an eFundID? Login

$10
$25
$50
$100
$500
$11000
$ Other

Please select ticket or contribution amount(s)

Please select an even decimal contribution amount if giving as a couple.

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

Second Contributor

First Name

Last Name

Joint Address

Address

City

State

Zip

First Contributor

I am retired

Employer

Occupation

If you have no occupation or employer, do not leave blank. For occupation use general terms such as 'manager', 'homemaker', or 'none.' If not employed by a company, use terms such as 'self', 'retired', or 'unemployed.'

Second Contributor

I am retired

Employer

Occupation

3 Payment Method

Credit Card Number

MM/YY

Security

CVC on Visa/MasterCard/Discover is a 3 digit code on the back of the card. CVC on AMEX is a 4 digit code on the front of the card.

My credit card address is different than my home address.

CC Zip

Routing Number

Account Number

This is the custom employment information requirements message

Please select a contribution amount

4 Event Details

I plan on attending the event.

# Of Guests

Guest names

Comment

Please click the reCAPTCHA checkbox

Only use the above payment option(s) for individual contributions. Contribute by credit card for corporate or couple donations

By contributing you agree to the terms and conditions.

Some fields are invalid. Please see errors below corresponding fields.

Unable to process with ACH. Please check your routing/account number or choose another payment method

Apple Pay failed. Please try again, or choose another payment method

Please fill out this field.

Please select an option.

Please input a value between $5.00 and $11000.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $11000.00. Please reduce the number of iterations, or reduce the payment amount.

Time span must not be past credit card's expiration date

Please select this before proceeding

Iterations must be a number greater than 0

Total donation amount may not exceed $11000.00. Please reduce the number of iterations, or reduce the payment amount.

Yes! Include processing fee (+${data-translate-1}). (Click to include fee in total).

Thank you! Processing fee has been included in your total.

A processing fee of ${data-translate-1} has been included in your total.

Number of Weeks

Number of Months

Number of Quarters

Number of Years

PayPal accepted

Please click the PayPal button, or choose another payment method

PayPal failed. Please try again, or choose another payment method

Venmo failed. Please try again, or choose another payment method

Apple Pay accepted

Please click the Apple Pay button, or choose another payment method

Apple Pay failed. Please try again, or choose another payment method

Please select a contribution amount

All fields are required

{data-translate-1} days remaining

{data-translate-1}h {data-translate-2}m remaining

{data-translate-1}m {data-translate-2}s remaining

The deadline has passed

1 day remaining