JOHNSON CITY COUNCIL 2024 - Online Contributions by eFundraising Connections

1 Contribution Have an eFundID? Login

$5000
$2500
$1000
$500
$250
$100
$50
$ Other

Please select a contribution amount

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

Iterations

This recurring donation will process on the 23rd of every month.

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

Company Type

PAC ID

ALL

Responsible Officer First Name

Responsible Officer Last Name

I agree to the following statements:

Responsible Officer is the Name of Individual with Primary Responsibility for Approving this Contribution

Second Contributor

First Name

Last Name

Joint Address

Address

City

State

Zip

First Contributor

I am retired

Employer

Occupation

If you are retired, please put: Occupation: Retired, Employer: None

If you are unemployed, please put: Occupation: Unemployed, Employer: None

If you are a stay-at-home parent, please put: Occupation: Stay-at-home parent, Employer: None

If you are self-employed or an independent contractor and do business under your first and last name, please put: Occupation: <describe your business>, Employer: First and Last Name

If you are self-employed and do business under a business name, please put: Occupation: <describe your business, i.e., "photographer">, Employer: The name that people put on checks to your business, i.e., "Jake's Discount Photography"

If you are employed by a company, please put Occupation: <describe your job title, i.e., "Director of Sales">, Employer: <the name of your employer>.

Second Contributor

I am retired

Employer

Occupation

If you are retired, please put: Occupation: Retired, Employer: None

If you are unemployed, please put: Occupation: Unemployed, Employer: None

If you are a stay-at-home parent, please put: Occupation: Stay-at-home parent, Employer: None

If you are self-employed or an independent contractor and do business under your first and last name, please put: Occupation: <describe your business>, Employer: First and Last Name

If you are employed by a company, please put Occupation: <describe your job title, i.e., "Director of Sales">, Employer: <the name of your employer>.

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

Please select a contribution amount

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.

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

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Please fill out this field.

Please select an option.

Please input a value between $5.00 and $100000.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $100000.00. 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 $100000.00. Please reduce the number of iterations, or reduce the payment amount.

Credit Card number must have 15 digits

Credit Card number must have 16 digits

Credit Card number is not valid

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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

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