Piryx™

Share This Page
Tweet 0

Committee to Elect John Foreman

https://www.foreman4hd52.com/

Your generous gift will help John in his race to win House District 52 in New Mexico!

Contribution Amount

$25
$50
$100
$250
$500
$1,000
$5,200 - Max per person/election
$

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:

Paid for by the Committee to Elect John Foreman, Vicki Hunter - Treasurer

I want to publish my name to the Committee to Elect John Foreman 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.

Please note that the individual limit for contributions is $5,200 per election (primary and general).

(Vicki Hunter, Treasurer)

Committee to Elect John Foreman

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.