Connect Click&Pledge

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Billing and Contact Information

First Name : *

Middle Initial :

Last Name : *

Email : *

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City : *

State : *

Province :

Zip/PostalCode : *

Phone :*

Occupation

Employer (name of business if self-employed) *

Occupation *

Is this contribution is a business or personal contribution? *

PersonalBusiness

Honor/Memorial Gifts

I want to dedicate my donation to someone:

In Honor Of In Memory Of Tribute To

Send Postal Mail acknowledgement:

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CreditCard

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Check Number : *

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Card Verification(CVV) : *

Expiration Date : *

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Name : *
Reference Number :

Disclaimer

Contributions are not deductible for federal income tax purposes as charitable expenses. Contributions may be accepted from individuals, businesses and PACs. Contributions are limited to $4,400 per person per election.

Paid for by Mark Kersey for Senate 2018

7185 Navajo Road Suite P
San Diego CA 92119

FPPC ID # 1397779

You will be charged:

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Advanced Redirect

The patron will be redirect to the following pages based on the authorized result.

Important Note:

The redirect pages have to be secure otherwise no redirect will occur.
If your server is offline for any reason the redirect will fail, resulting in error. If the patron experiences a page not found based on your server’s availability it may result to double charges

Use complete URL including https://

Success landing page:

Declined landing page:

The following URL parameters are included in the response and may be used on the landing page via custom programming:

Example Success URL:
https://yourpageurl.com/success-page?on=123456&result=success&response=authorized&t=totalamount&refid=referenceid&trk=tracker

on = OrderNumber
result = success
response = authorized
t = totalamount
refid = referenceid
trk = tracker

Example Decline URL:
https://yourpageurl.com/decline-page?on=123456&result=failure&response=dcl&t=totalamount

on = OrderNumber
result = failure
response = dcl
t = totalamount