Protect Prop. 13 Secure Online Donation Form

To protect California taxpayers from the rampant tax increases that would become an annual occurrence if we ever lost Proposition 13, the Howard Jarvis Taxpayers Association has established a special campaign committee:

Protect Prop. 13, A Project of the Howard Jarvis Taxpayers Association

Donations to this committee may be used for radio and TV ads, campaign mail, yard signs and all the other efforts that go into a campaign related to ballot measures.

If contributing as a BUSINESS or other entity, please complete the following fields.
If contributing as an INDIVIDUAL, please click here.

Donor Information (BUSINESS): *required fields

Business Name:*

Address 1:* Unfortunately, we cannot accept a P.O. Box address. Please provide
a street address. You may also enter an alternative mailing address
in Address 2.

Address 2:

City:*

State:*

ZIP Code:*

E-mail Address:*

Phone Number:

Choose one:

If donor is a PAC, provide SOS ID number:

If donor is a business or organization, choose one:

Type of Business: LLC Corporation Partnership Other:

Name of individual with primary responsibility for approving this contribution:

INTERMEDIARY: If you are making this contribution on behalf of someone else, either because you are the person's agent in control of disbursing funds at their direction held in an account under your name or because you are being reimbursed, you are an intermediary. State laws require the following information:

Name of Intermediary:

Intermediary's Street
Address (No P.O. Box): (P.O. Box addresses are not permitted.)

City:

State:

ZIP Code:

Please indicate if intermediary is an individual or a business:

Intermediary is an individual

Occupation:

Employer:

Intermediary is a business

My Billing Information: *required fields

Payment Type:*

Name on Card:*

Billing Address (if different from "Donor Information" Address): *required fields

Street Address or PO Box:

City:

State:

ZIP Code:

Card Number:* Don't use dashes or spaces between numbers.

Exp. Date:*

CVV Code:* cvv

I confirm that the following statements are true and accurate: *required fields

1.* I am a United States citizen or a permanent resident alien.

2.* The funds I am contributing are not being provided to me by another person or entity for the purpose of making this contribution, OR I've identified myself as an "intermediary" above.

Your contribution is not tax-deductible as a charitable contribution for Federal income tax purposes.

Your card will be charged the following:

$0 Donation

IMPORTANT:
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Please press "Submit" ONLY once.

Paid for by Protect Prop. 13, a Project of the Howard Jarvis Taxpayers Association.