Piryx™

Share This Page
Tweet 0

Donate to Connecticut Senate Republican Majority Committee

http://www.ctsrmc.com

Please donate to Connecticut Senate Republican Majority Committee. Help us raise money and share our cause today!

Contribution Amount

$25
$50
$100
$250

$500
$1,000
$

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:

* I hereby certify that all of the information disclosed by me and set forth above on this contributor card is true and accurate to the best of my knowledge and belief. I certify that I am NOT a principal of a state contractor or prospective state contractor (See Definition of Terms if you are uncertain of these terms). I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States. I am 18 years of age or older. I certify that this contribution is made on my personal credit card for which I have a legal obligation to pay and intend to pay from my own personal funds; payment on this card is not made from the funds of a corporation, labor organization or any other entity.

The maximum contribution for an individual is $1,000.

The maximum contribution for a Communicator Lobbyist (Individual) is $100.

Paid for by SRMC - Peggy Deschenes, Treasurer

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.