Join Us October 18th for a Fundraiser to Support Judge Sarah Johnson

Please Join Joe Balesteri, Kristen Barnett McCarthy, Margaret Battersby Black, Heather Begley Brad Cosgrove, Ben Crane, Carolyn Daley, Karen Enright, Sarah Ferrell, Mike Gill, Tom Hill, Ann Scrivner Kuban, Hon. Chris Lawler (Ret.), Courtney Lindbert, Dan O’Brien, Hon. James O’Hara (Ret.), Anthony Pinto, Stephanie Rubin, Miguel Ruiz, Eirene Salvi, Marni Slavick, Mike Slovis, Meghann Smith, Morgan Stogsdill, Sarah Touzalin, Katie Twardak for a fundraiser to support Judge Sarah Johnson

Wednesday, October 18th
5 P.M. - 7 P.M.
Hubbard Inn
110 W. Hubbard St, Chicago

For more information e-mail Info@JudgeSarahJohnson.com

Paid for by Citizens for Judge Sarah Johnson.

A copy of our report filed with the State Board of Elections is (or will be) available on the Board’s official website (www.elections.il.gov) or for purchase from the State Board of Elections, Springfield, Illinois.

Contributor

First Name

Last Name

Street Address

City

State

ZIP

Country

Phone

Employment

We are required to use our best efforts to collect and report your occupation and employer.

Please do not leave blank or enter 'N/A'.

Employer

If self-employed, enter 'self'; if unemployed enter 'none' or 'retired'.

Occupation

Please complete even if self-employed; enter 'none' or 'retired' if unemployed.

Legal Compliance

I confirm that the following statements are true and accurate:

I am a United States citizen or a permanent resident alien.
This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.
I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person.
I have read and accept the Democracy Engine Terms of Service, Privacy Policy, and Refund Policy.
I am at least eighteen years old.

Ticket Quantities

Platinum Sponsorship
$5,000.00 each

Gold Sponsorship
$2,000.00 each

Silver Sponsorship
$1,000.00 each

Bronze Sponsorship
$500.00 each

Individual Ticket
$100.00 each

TOTAL
$

Payment method

Credit Card Electronic Check

Credit Card

Card Number Four_cards

Expiration Date

Security Code (CCV)

Electronic Check

Account Type

Checking Savings

Routing (Bank) Number(omit any dashes or spaces)

Retype Routing Number

Account Number(omit any dashes or spaces)

Retype Account Number

By clicking the donate button below, I acknowledge that my payment is being made to Democracy Engine, who accepts the responsibility of distributing the funds to my designated recipient(s) in accordance with applicable campaign finance laws. My card or bank statement will show a payment to “Democracy Engine” or “DEMENG” and if there are any issues or discrepancies with the payment or I wish to revoke the payment, I can contact Democracy Engine at support@democracyengine.com. Democracy Engine will charge each recipient an applicable service fee.