Personal Information

* First Name
* Last Name
* Address 1
  Address 2
* City
* State
* ZIP Code
* Home Telephone
* Email

Employment Information

* Employer Name
* Occupation
* Address 1
  Address 2
* City
* State
* ZIP Code

Note: For Employer and Occupation, if you are self-employed, retired, or a student, please use these fields to note that information. For employer address information, please enter "N/A".

Contribution Information

Maximum Donation $2,750. Please note the the New York City Campaign Finance Board will match the first $175 contributed by individual New York City residents at a $6 to $1 rate. Corporate contributions are not permitted.

Credit Card Information

*Card Type    cards
*Card Number
*Expiration  

Confirm Eligibility

*Confirm

I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal credit card account, billed to and paid for by me for my personal use and having no corporate or business affiliation; and is not being made as a loan.

(State law prohibits making a contribution in someone else's name, reimbursing someone for a contribution made in your name, being reimbursed for a contribution made in your name, or claiming to have made a contribution when a loan is made.)

The contribution limit is $2750. Corporations, partnerships, LLPs and LLCs are prohibited from making a contribution. A Political Committee may not make a contribution unless it is registered with the NYC Campaign Finance Board.

If a contributor has business dealings with the City as defined in the Campaign Finance Act, such contributor may contribute only up to $250 for City Council. Contributions from persons doing business with the City also will not be matched with public funds.

Political contributions are not deductible as charitable contributions for income tax purposes.

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