Piryx™

Share This Page
Tweet 0

Donate to Valenzuela for Phoenix

Support Councilman Daniel Valenzuela by making a secure online donation! Please select a donation amount and then fill out the forms below to make a online donation.

You can also make a donation by mailing a check to:
Friends of Daniel Valenzuela
5330 N. 12th St.
Phoenix, AZ 85014

Contribution Amount

$25
$50
$100
$250
$500
$1,000
$2,500
$6,350 - Max per person per election cycle
$12,700 - Max per couple per election cycle
$

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 Valenzuela for Phoenix 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.

Note: The maximum contributions are $6,250 per person, per election cycle and $12,500 per couple, per election cycle. Contributions from corporations and foreign nationals are not permitted. Campaign disclosure laws require us to obtain and report the information above.

Paid for by Friends of Daniel Valenzuela

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.