Annual Fall Fundraiser Donation

Amount 1
Your Info 2
Payment 3

$30 $60 Other $

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Employer Info

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

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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 [email protected].

Contributions are not tax deductible.

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There is a suggested donation of $30 per person for the Annual Fall Fundraiser.

If you prefer to mail in your contribution, please download and print this form and mail to: Philipstown Democrats, PO Box 451, Garrison, NY 10524.