Cathy Cook for Assembly 2022 - Online Contributions by eFundraising Connections

1 Contribution Have an eFundID? Login

$4900
$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 19th of every month.

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

Company Type

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

Employer

Occupation

FPPC requires your employer and occupation. Thank you.

Second Contributor

Employer

Occupation

FPPC requires your employer and occupation. Thank you.

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

Comment

Total donation amount may not exceed $4900.00

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Apple Pay is for individual contributions only. 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

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Please select an option.

Please input a value between $10.00 and $4900.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $4900.00. 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 $4900.00. 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

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Apple Pay accepted

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Please select a contribution amount

All fields are required

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