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

  • Required
  • Required
  • Required

  • Required
  • Required
  • Required
  • Required

Employment Information

  • Required
  • Required

Payment Information

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.

Piryx - The Social Giving Platform

Now fundraising is as easy as writing a blog or posting a status update and can be integrated into your website, product or mobile app. With Piryx, causes raise money online in more volume and much more effectively across the web. To learn more and create your own free account visit Piryx.com.