46dems Diversity, Equity, and Inclusion Project

Choose Amount:

$25 $46 $100 $146 $246 $1,000 $2,500 Other $

First Name

Last Name

Country

Address

City

Postal Code

Phone

Send email updates

Employer Info

Employer

Occupation

Employer Country

Employer City

State

Postal Code

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

If purchasing a Family Membership for $46 or more, Family Member Name. Leave blank if none

Family Member Email

Family Member Phone

Credit card number

Expires

Security code (on back)

Contribution Rules

I understand that my payment is being made to Democracy Engine, who accepts the responsibility of distributing the funds to my designated recipient(s). My card or bank statement will show a payment to “Democracy Engine” and if there are any issues or discrepancies with the payment or I wish to revoke the payment, I can contact Democracy Engine at [email protected].

I confirm that the above statements are true and accurate. I agree to the Democracy Engine Terms of Service and Privacy Policy. You will not receive any emails from them, they just deliver your donation to us.

Contributions are not tax deductible.