Crocker for Supervisor 2020 - Online Contributions by eFundraising Connections

1 Contribution Have an eFundID? Login

$10
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$ Other

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

Iterations

This recurring donation will process on the 25th of every month.

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

True

Responsible Officer First Name

Responsible Officer Last 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

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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 $999999.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $999999.00. Please reduce the number of iterations, or reduce the payment amount.

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Iterations must be a number greater than 0

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Number of Weeks

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Number of Quarters

Number of Years

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