Piryx™

Share This Page
Tweet 3

Donate to Hoosiers for Richard Mourdock

Contribution Amount

$35
$50
$100
$250

$500
$1,000
$2,500
$

Payment Information

Debit/Credit Card

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:

1. This contribution is made from my own funds and not those of another.
2. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
3. I am not a Federal government contractor.
4. I am not a foreign national who lacks permanent resident status in the United States.
5. I am at least 18 years of age.
6. This contribution is made on a personal credit or debit card for which I have the legal obligation to pay and is made neither on a corporate or business entity card nor on the card of another.
7. By donating you agree to receive emails from Richard Mourdock for Senate. You can opt-out at anytime.

To send a check by mail, address it to Hoosiers for Mourdock PO Box 1583 Indianapolis, IN 46206

Contributions are not tax deductible for federal income tax purposes. Individuals may contribute a maximum of $5,000 - $2,500 for the Primary election and $2,500 for the General election. Multi-candidate PACs may give a maximum of $10,000 - $5,000 for the Primary election and $5,000 for the General election.

All contributions are subject to limitations and regulations set by the Federal Election Commission.

Paid for by Hoosiers for Richard Mourdock, 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.