SOUTHERN CALIFORNIA ARMENIAN DEMOCRATS - Online Contributions by eFundraising Connections

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Join the Southern CA Armenian Democrats Today & Become the VOICE of the Armenian Democrats!

Your membership is annual and expires one year from the day you joined Southern CA Armenian Democrats.

$10 Student Level Membership

$25 Individual Level Membership

$40 Family Level Membership (two people per household)

$500 Life Time Level Membership

If financial hardship consideration is needed, please indicate your request for a financial hardship waiver via email.

$10

Student Level Membership
$25

Individual Level Membership
$40

Family Level Membership (two people per household)
$500

Life Time Level Membership
$ Other

I want to donate as a couple

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Iterations

This recurring donation will process on the 26th of every month.

Total donation amount may not exceed $999999.99

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

I am retired

Employer

Occupation

If you are retired, please put: Occupation: Retired, Employer: None

If you are unemployed, please put: Occupation: Unemployed, Employer: None

If you are a stay-at-home parent, please put: Occupation: Stay-at-home parent, Employer: None

If you are self-employed or an independent contractor and do business under your first and last name, please put: Occupation: <describe your business>, Employer: First and Last Name

If you are self-employed and do business under a business name, please put: Occupation: <describe your business, i.e., "photographer">, Employer: The name that people put on checks to your business, i.e., "Jake's Discount Photography"

If you are employed by a company, please put Occupation: <describe your job title, i.e., "Director of Sales">, Employer: <the name of your employer>.

Second Contributor

I am retired

Employer

Occupation

If you are retired, please put: Occupation: Retired, Employer: None

If you are unemployed, please put: Occupation: Unemployed, Employer: None

If you are a stay-at-home parent, please put: Occupation: Stay-at-home parent, Employer: None

If you are self-employed or an independent contractor and do business under your first and last name, please put: Occupation: <describe your business>, Employer: First and Last Name

If you are employed by a company, please put Occupation: <describe your job title, i.e., "Director of Sales">, Employer: <the name of your employer>.

Comment

The maximum contribution amount is $999999.99. Please lower your contribution amount.

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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Number of Weeks

Number of Months

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