Chaya for Tri-City Healthcare District Board Member Zone 7 2024 - Online Contributions by eFundraising Connections

1 Contribution Have an eFundID? Login

$10
$25
$50
$100
$500
$10000
$ Other

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

Iterations

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

Need occupation and employer for individual contributions of $100 or more.

Second Contributor

I am retired

Employer

Occupation

Need occupation and employer for individual contributions of $100 or more.

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

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Comment

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

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Please input a value between $5.00 and $10000.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $10000.00. Please reduce the number of iterations, or reduce the payment amount.

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

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Iterations must be a number greater than 0

Total donation amount may not exceed $10000.00. Please reduce the number of iterations, or reduce the payment amount.

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Number of Weeks

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Apple Pay accepted

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