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Por favor seleccione el monto de su contribución
Por favor, seleccione una cantidad con numeros pares de contribución si da como pareja.
Eta donación recurrente, se llevara a cabo cada Lunes.
Esta donación recurrente será procesada el día 17th de cada mes
Esta donación recurrente será procesada cada tres meses
Esta donación recurrente será procesada el día Noviembre 17 anualmente
If you have no occupation or employer, do not leave blank. For your occupation, please use your job title i.e Vice President, Manager etc.
Please use the name of your company if applicable or if you do not have a name of your company, please list your name.
Do not use, “Self or Self Employed”.
El código de verificación (CVC) es un número de 3 o 4 dígitos y lo puede encontrar en la parte trasera de su tarjeta
I certify the following:
This contribution is not being made under a false name, is not being made under another person’s name, and has not been and will not be reimbursed.
This contribution does not cause me to exceed my contribution limit of $1000. I understand that all contributions I make to this candidate or committee must be cumulated. I understand that a contribution from another individual or entity whose contribution activity I control, such as a business that I own or control, must be aggregated with this contribution, and both contributions will be treated as a single contribution from me.
I am a United States citizen or a lawfully admitted permanent resident (i.e., green card holder).
I am not a lobbyist or lobbying firm that is prohibited from contributing under Los Angeles City Charter §470(c)(11).
I am not a bidder, sub-contractor, principal, or underwriting firm that is prohibited from contributing under Los Angeles City Charter § 470(c)(12) or 609(e).
I am not a planning applicant, owner, or principal that is prohibited from contributing under Los Angeles Municipal Code § 49.7.37.
I certify under penalty of perjury under the laws of the City of Los Angeles and the state of California that all of the information I have provided on this contribution form is true and correct.
El monto total de donaciones no debe exceder $1000.00
Only use the above payment option(s) for individual contributions. Contribute by credit card for corporate or couple donations
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