Piryx™

To send check by mail, print out the form below, and mail to:

The Committee to Elect Stephen A. Labate, Inc. c/o Nancy Marks, Treasurer PO Box 610, Shirley, NY 11967

Contribution Amount

Personal Information

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Employment Information

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Payment Information


  • Your routing number is a 9 digit number that typically appears on the left hand side of your checks.  The account number typically appears on the right hand side of the check and can vary in length.

Billing Information






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

Amount:

By clicking submit you agree to our refund policy in our terms of service.

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Contributions are not tax deductible.

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