Yes on T for a Safer San Jose

Thank you for supporting a safer San Jose.

With your help, we can make sure that San Jose has the resources and infrastructure needed to keep our city Safe.

Checks can be mailed to:

Safer San Jose, Yes on Measure T

1346 The Alameda #7-191

San Jose, CA 95126

Contributor

First Name

Last Name

Street Address

City

State

ZIP

Country

Phone

Employment

Campaign finance law requires us to obtain your occupation and employer.

Employer

If self-employed, enter the name of your business; 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 have read and accept the Democracy Engine Terms of Service, Privacy Policy, and Refund Policy.
I am at least eighteen years old.

Recipients & Amounts

Safer San Jose, Yes on Measure TLocal PAC
$
TOTAL
$

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

By clicking the donate button below, I acknowledge that my payment is being made to Democracy Engine, who accepts the responsibility of distributing the funds to my designated recipient(s) in accordance with applicable campaign finance laws. My card or bank statement will show a payment to “Democracy Engine” or “DEMENG” and if there are any issues or discrepancies with the payment or I wish to revoke the payment, I can contact Democracy Engine at support@democracyengine.com. Democracy Engine will charge each recipient an applicable service fee.