Piryx™

Share This Page
Tweet 0

Donate to Tom Hoefling for Iowa

http://www.tomhoefling.com

Your generous contribution is appreciated.

Contribution Amount

$5
$15
$50
$100

$250
$500
$1,000
$2,500

$5,000
$

Personal Information

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

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:

This donation is being made from my own personal funds, and is not being reimbursed by any other person or entity. This contribution is not being made from the treasury funds of a corporation, labor union, or national bank.

I am a U.S. citizen or lawfully admitted permanent U.S. resident.

I am not a federal government contractor. (Employees of federal government contractors may give.)

I want to publish my name to the Donate to Tom Hoefling for Iowa 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:

Your donation is being submitted. Please be patient.

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

Contributions are not deductible as charitable donations for federal income tax purposes. Iowa law requires us to report the name and mailing address of donors whose contributions exceed $10 in an election cycle. Contributions from corporations, federal government contractors and foreign nationals are prohibited. There is no legal limitation on the amount you can contribute to Tom Hoefling for Iowa, Inc., from your own personal funds.

Checks can be mailed to: Tom Hoefling for Iowa, Inc. | P.O. Box 77 | Lohrville, IA | 5143

AUTHORIZED AND PAID FOR BY TOM HOEFLING FOR IOWA, INC.

This form is secured using 256-bit SSL encryption.

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.