Kerry Bentivolio for US Congress

Please mail checks to: Kerry Bentivolio for US Congress, 260 White Pine Trail, Milford, MI 48381

http://www.bentivolioforcongress.com/

SHARE THIS PAGE!

Amount

SELECT AMOUNT:*

$10.00
$25.00
$50.00
$61.00
$100.00
$250.00
$500.00
$1,000.00
$2,500.00
Other

OTHER AMOUNT:

DONATION TYPE:

Transaxt account holders click here to login.
If you do not have a Transaxt account please continue filling out the donation form.

Payment Information

We accept the following:

CREDIT CARD #:*

What's this?

EXPIRES ON:*

CVV:*

NAME ON CARD:*

EMAIL:*

PHONE #:*

Personal Information

FIRST NAME:*

LAST NAME:*

ADDRESS:*

CITY:*

STATE:*

ZIP:*

OCCUPATION:*
EMPLOYER:*
Contributions are not deductible for federal income tax purposes. Corporate checks and contributions from foreign nationals are prohibited. Federal law requires us to report the name, address, occupation and employer of any donor whose aggregate contributions total in excess of $200 per calendar year.

Billing Address

Same as Personal Address

ADDRESS:*

CITY:*

STATE:*

ZIP:*

Confirm and Submit

• I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person.
• My contribution is made from personal funds, and not from the general treasury funds of a corporation, organization or national bank.
• I have not received any funds from another person or entity for the purposes of making this contribution.
• I am a United States citizen, or a Green Card Holder who has been lawfully admitted for permanent residence and this contribution will not be reimbursed by another person.

Contribution limit: $2,600 for the primary election and another $2,600 for the general election, for a total of $5,200 per person. A couple may contribute up to $5,200 for the primary and up to $5,200 for the general election on a joint bank account check. Contributions by federal contractors, national banks, corporations, and foreign nationals who are not 'green card' holders are prohibited.

I agree to the terms above

(If you need help with your submission, please contact support@transaxt.com)

After you click on the Submit button, you will have the opportunity to sign up
for a transaxt account to simplify your future donation experience.

Paid for by Kerry Bentivolio for US Congress

Service provided by Transaxt.com

Confirm Amount

Please confirm that you want to submit the following amount:

Amount:
Card:


	CVV - Credit Card Verification Code If you look on the back of your credit card, you should see your card number printed with an additional 3-4 numbers at the end. Please enter these additional numbers into the "CVV" field.

Working...

Recurring Donations

For your security, please fill out credit card information for a recurring charge.

OK

Sign Up/Sign In

With your existing account from:

You must make a donation in order to make an account

With a traditional account

Username Required

Password Required Forgot your password?

Sign In Create Account

Privacy Policy/Terms and Conditions

Almost Done!

The following information will be used to pre-populate your donation form, once you complete your donation you can opt to link that donation to a transaxt account and make giving through transaxt a simple one step process in the future.

Already have an account? Sign In.

Please provide your first name.

Please provide your last name.

Please provide an email. Please provide your email. Will not be shared without your permission

Please provide a password. Minimum password length is 6 Must be at least 6 characters

Password doesn't match. Please confirm your password. Re-type your password

Please provide a username. This username is already in use. Please select another. A username to use on this site

By clicking "Create Account", you confirm that you accept our terms of service and have read and understand privacy policy.

Back Create Account