Piryx™

Share This Page
Tweet 2

Contribute to Ruben Diaz for State Senate

"I believe that with your support, along with the continued trust of my constituents, 
I will continue to have the privilege of serving New York State's 32nd Senatorial District."
Senator ReverendRuben Diaz

Contribution Amount

$25
$50
$100
$250

$500
$1,000
$2,000
$5,000

$7,500
$11,000
$

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

Legal Compliance

I affirm that the following statements are true and accurate:

- I am not a foreign national who lacks permanent residence in the United States.
- This contribution is made from my own funds, and not those of another.
- I am at least eighteen years old.

Your donation is being submitted. Please be patientRuben Diaz for State Senate Committee may accept contributions from individuals, businesses, PACS, Corporations & LLCs.

We may accept contributions up to $11,000 for the General Election.

Donations are not tax deductible.

I want to publish my name to the Contribute to Ruben Diaz for State Senate 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.

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.