Vote Jason Moser

for Jury Commissioner of Centre County

Jason Moser is Your Democratic Candidate for Jury Commissioner of Centre County. Help support his campaign by making a contribution to the candidate committee, Vote Jason Moser.

Contributor

First Name

Last Name

Street Address

City

State

ZIP

Country

Phone

Employment

We are required to use our best efforts to collect your occupation and employer.

Please do not leave blank or enter 'N/A'.

Employer

If self-employed, enter 'self'; if unemployed enter 'none' or 'retired'.

Occupation

Please complete even if self-employed; enter 'none' or 'retired' if unemployed.

Legal Compliance

I confirm that the following statements are true and accurate:

I am a United States citizen or a permanent resident alien.
This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.
I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person.
I have read and accept the Democracy Engine Terms of Service and Privacy Policy.
I am at least eighteen years old.

Recipients & Amounts

Jason Moser for Centre County Jury Commissioner
$
TOTAL
$

Make this a recurring donation ...

That repeats
Until donations have been made
Stopping after

Payment method

Credit Card Electronic Check

Credit Card

Card Number Four_cards

Expiration Date

Security Code (CCV)

Electronic Check

Account Type

Checking Savings

Routing (Bank) Number(omit any dashes or spaces)

Retype Routing Number

Account Number(omit any dashes or spaces)

Retype Account Number