Hoover for Assembly 2024 - Online Contributions by eFundraising Connections

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1 Contribution

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$125

Individual
$500

Bronze Sponsor
$1000

Silver Sponsor
$2500

Gold Sponsor
$5500

Platinum Sponsor
$ Other

Please select ticket or contribution amount(s)

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

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

Responsible Officer First Name

Responsible Officer Last Name

Second Contributor

First Name

Last Name

Joint Address

Address

City

State

Zip

First Contributor

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

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

Routing Number

Account Number

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Please select a contribution amount

4 Event Details

I plan on attending the event.

# Of Guests

Guest names

Comment

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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.

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Please input a value between $5.00 and $11000.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $11000.00. 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 $11000.00. Please reduce the number of iterations, or reduce the payment amount.

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Number of Weeks

Number of Months

Number of Quarters

Number of Years

PayPal accepted

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PayPal failed. Please try again, or choose another payment method

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Apple Pay accepted

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Please select a contribution amount

All fields are required

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1 day remaining