Donate

Pledge Donation Form

Thank you for supporting Democrats of North Mecklenburg!
Please fill out this form, which includes information required by NC campaign law.
After submitting it to us, you can choose whether send your donation to us via Paypal (online) or by check. Please note that donations to Democrats of North Mecklenburg are not tax deductible. Also, foreign nationals are prohibited by law from contributing to DNM.
Items with a red asterisk (*) are required for the form to be submitted.

* Indicates required field

Full Name *

First

Last

Email *

Phone Number *

Amount you'd like to donate: *

Please apply this donation to my annual membership contribution. *

Yes No

Mailing Address (including zip code) *

Line 1

Line 2

City

State

Zip Code

Country

Your Job Title *

Your Profession *

Employer's Name *

Comments for us? *

Submit