Legacy Republican Alliance - Online Contributions by eFundraising Connections

1 Contribution Have an eFundID? Login

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Iterations

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

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

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Security

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Comment

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Please input a value between $5.00 and $7800.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $7800.00. 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 $7800.00. Please reduce the number of iterations, or reduce the payment amount.

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Weeks

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