LOS ANGELES PROGRESSIVE PAC - Online Contributions by eFundraising Connections

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Los Angeles Progressive PAC supports progressive candidates seeking office in Los Angeles. Help us bring integrity and honesty back to city government.

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Iterations

Total donation amount may not exceed $5000.00

Phone

First Contributor

First Name

Last Name

Company Name

Company Type

PAC ID

True

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>.

Comment

The maximum contribution amount is $5000.00. Please lower your contribution amount.

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

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Please input a value between $5.00 and $5000.00

Please input a value between $5.00 and $5000.00 or select "I want to donate as a couple" to double the contribution limit.

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $5000.00. 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 $5000.00. Please reduce the number of iterations, or reduce the payment amount.

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