Donation Contact Information


Credit card donations can either be processed through the form below and a secured credit card processing system from our bank. You also have the option to click on the button on the left to donate through ActBlue's secure processing system.

* denotes required fields

Prefix:
First Name:*
Middle Name:
Last Name: *
Suffix:
Address Line 1: *
Address Line 2:
City: *
ST: *
ZIP:
E-Mail Address:
Phone:
Fax:

Contact Preference:

Contact Info Sharing Preferences: OK to Share with Texas Democratic Party
Please don't share my contact info


Donation information

To comply with Federal law, we must use best efforts to obtain, maintain, and submit the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle. If not employed, enter "none" or "retired".
Employer: *
Occupation: *

By checking this box, I confirm that the following statements are true and accurate:

  • This contribution is made from my own funds, and not those of another.
  • This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
  • I am not a Federal government contractor.
  • I am not a foreign national who lacks permanent resident status in the United States.
  • I am at least 18 years of age.
  • This contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.
Please Confirm Your Eligibility *

Amount of Donation:

$25.00 $50.00 $75.00 $100.00
$200.00 $250.00 $500.00 $1000.00
$1500.00 $2000.00 $2400.00 $4800.00
Other amount Please specify other amount (5 - 4799):

Please Note: If paying by credit card, you authorize the Blatt For Congress campaign to charge your credit card in the amount you indicate above.

If paying by check, please make the check payable to "Blatt For Congress". Corporate checks are not allowed. Please send the above contact information along with your check to:

Blatt For Congress
PO BOX 1560
Pearland, TX 77588

The maximum amount you can contribute is $2,400 per election cycle (the primary and general are separate elections). By submitting your contribution, you agree that the first $2,400 of your contribution is designated for the primary, and any additional amount up to $2,400 is designated for the general election.

Contributions are not tax-deductible as a charitable contribution for federal income tax purposes.


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