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2020 Louisiana State Convention

http://www.lplouisiana.org

Please contribute $70 for the bronze package, $100 for the Silver Package, $150 for the Gold Package and $250 for the Crypto package. If you purchase more than one package please indicate which how many of each package you are purchasing. We look forward to seeing you at the convention.

Contribution Amount

$70 - Bronze
$100 - Silver
$150 - Gold
$250 - Crypto
$140 - 2 Bronze Packages
$200 - 2 Silver Packages
$300 - 2 Gold Packages
$500 - 2 Crypto Packages
$100 - Vendor Table

Personal Information

First NameRequired
Last NameRequired
EmailRequired
Home AddressRequired
Home Address (line 2)
CityRequired
StateRequired
Zip/PostalRequired
Phone NumberRequired

Employment Information

EmployerRequired
OccupationRequired

Payment Information

Debit/Credit Card

Card Number
CSC ?
Expiration

Routing Number
Account Number

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

Legal Compliance

I affirm that the following statements are true and accurate:

All donations are strictly for state/local party use and are not used for the purposes of supporting federal candidates directly or indirectly.

I want to publish my name to the 2020 Louisiana State Convention giving stream! (Note: your contribution amount will not be shown)

Your donation will appear on your credit card or bank statement as "RALLY/PIRYX"

Amount:

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Donations are not tax deductible.

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