Piryx™

Share This Page
Tweet 0

Donate to Holst for Supervisor - Scott County, Iowa

Please support Diane's campaign for Scott County Supervisor. All donations will help Diane create awareness of how and why she is the most qualified candidate to represent the taxpayers.

For the past four years, she has been a fixture at county meetings, gaining extensive working knowledge of county business, budgets, grants, bids and intergovernmental affairs. Please review the materials at her website and contact Diane if you have any questions.

Contribution Amount

$25
$50
$100
$250

$500
$1,000
$2,500
$

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

I want to publish my name to the Donate to Holst for Supervisor - Scott County, 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.

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.