Support - Cloud for Congress

JOIN US FOR A REFUGIO COUNTY RECEPTION

July 13, 2021 | 6:00 pm - 7:30 pm

Hosted by Delbert & Susan Cox

A Little "Britt" of Heaven - 711 Commerce Street - Refugio, Texas 78377

Questions? Please contact Team Cloud at hello@cloudforcongress.com, 361.433.4995

We'd like anyone who supports the Congressman to join us, so, if cost is a concern, we ask that you just give what you can.

Choose Amount

Funds and Amounts

CHAIRMEN11%$0.00
Donation12%$0.00
Individual Ticket11%$0.00
VICE-CHAIRMEN11%$0.00
HOSTS11%$0.00
CO-HOSTS11%$0.00
PATRIOTS11%$0.00
SUPPORTERS11%$0.00
INDIVIDUAL SUPPORTER11%$0.00

Email*

Send me updates by email(not needed for receipts)

Phone*

Send me updates by text*

* By providing your phone number, you are consenting to receive text message updates, including automated text messages, to that number from Cloud for Congress. Message & Data rates may apply, and message frequency may vary over time. Reply "STOP" to opt out of these text message updates.

First name*

Last name*

Title

Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Are you currently employed?*

YesNo

Employer Name*

Occupation*

Please list attendee names (separated by commas)

Card Number*

Exp. Date*

CVC / CVV*

Zip*