Piryx™

Share This Page
Tweet 0

Donate to Kymberly Pine for City Council

http://www.pineforcouncil.com

Contribution Amount

$25
$50
$100
$250

$500
$1,000
$2,400
$3,000

$4,000
$

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:

The maximum donation amount per business or per person is $4000

I AFFIRM THAT THE FOLLOWING STATEMENTS ARE TRUE AND ACCURATE:

The funds I am contributing are my own personal funds and not those of another person or the corporate credit card I am using is for a donation from this business. I do not have a government contract with the State of Hawaii or any of its counties. I am a citizen or permanent resident in the United States of America. I am not a foreign national who lacks permanent resident status in the United States. I understand that donations are not deductible for income tax purposes.

Friends of Kymberly Pine, P.O. Box 2635, Ewa Beach, HI 96706

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.