444444CONTRIBUTION CARDTo comply with New York City Campaign Finance Board reporting requirements contributors should complete and review the card in its entirety Contribution TypeCredit CardCheckMone ID: 895171
Download Pdf The PPT/PDF document "Enter Committee Name" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
![[enter school]](https://thumbs.docslides.com/538662/enter-school.jpg)
1 Enter Committee Name 4 4 4 4 4 4 CONTRIB
Enter Committee Name 4 4 4 4 4 4 CONTRIBUTION CARD To comply with New York City Campaign Finance Board reporting requirements, contributors should complete and review the card in its entirety. Contribution Type Credit Card Check Money Order Cash (maximum of $100 per contributor) Contribution Amount $10 $20 $50 $100 $175 $250 Other $ Contributor Name Home Address City/State/ZIP Email Account Holder Card Type Account Number Expiration Date CVC Provide your employment information below. If you are not employed, indicate what best describes your employment status occupation and employment address. Employer Occupation Business Address City/State/ZIP I understand that State law requires that a contribution be in my name and be from my own funds. I hereby a�rm that is not being made as a loan; and that this contribution is being made from my personal funds or my personal account, which has no corporate or business a�liation. Contributor’s Signature Date of Contribution DOING BUSINESS CONTRIBUTION INFORMATION awarded by competitive sealed bid. Uniform Land Use Review Procedure (ULURP) actions, or City Charter o�ce lease or zoning change applications. . 12/28/18 Com mittee Use Only Transaction ID: