Fresno County Residents for Better Roads and Safe Streets, sponsored by nonprofit community organiza - Online Contributions by eFundraising Connections

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Iterations

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

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

true

Responsible Officer First Name

Responsible Officer Last Name

PAC Name

PAC ID

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

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

Comment

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Number of Weeks

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Number of Quarters

Number of Years

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