Donate to Al Austin for Long Beach City Council 2016

http://www.alaustinlbc.com/

Your contribution will help re-elect Al Austin to the Long Beach City Council. Thank you!

Contribution Amount

$100
$250
$400
$

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

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:

If this is a business credit card, I have entered the business name in the section for last name.

I want to publish my name to the Donate to Al Austin for Long Beach City Council 2016 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:

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

Paid for by AUSTIN for LB City Council 2016. 3605 Long Beach Blvd., Suite 426. Long Beach, CA 90807. FPPC ID#1378644

Contributions are not tax deductible. Contributions may be received from individuals, business entities, organizations and PACs up to $400 for the April 2016 primary election

PRIVACY POLICY: This notice applies to all information collected or submitted on this website. The types of personal information collected include name, e-mail address, address, occupation & employer, phone number and credit card charge authorization. We use your information to communicate with you about the campaign, to comply with campaign finance laws, and to process contributions made via credit card.

Paid for by AUSTIN FOR LB CITY COUNCIL 2016. 3605 Long Beach Blvd., Suite 426 Long Beach, CA 90807 FPPC ID#1378644

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.

Piryx™