Store Credit Withdrawal Test

Not for external use

N/A

Contributor

Employment

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in a calendar year.

Please do not leave blank or enter 'N/A'.
If self-employed, please enter 'self'
Please complete even if self-employed

Legal Compliance

Recipients & Amounts

  • Jonathan Zucker
    $
  • TOTAL

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Credit Card

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Electronic Check


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Omit any dashes or spaces

Store Credit Account Withdrawal

Contributions to political candidates and committees are not deductible for federal income tax purposes.

Contributions to the campaign are not tax deductible. The campaign may not deposit your check or credit card payment without your name, street address (no PO Boxes), occupation and employer, and may not accept cash, cashiers checks or money orders. Spouses may each contribute the maximum using a single check or credit card, but must both sign the check, credit card authorization form, or accompanying letter.
I understand that my payment is being made to Democracy Engine, who accepts the responsibility of distributing the funds to my designated recipient(s). My card or bank statement will show a payment to “Democracy Engine” 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.