Elise for City Council

Other

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 Elise for City Council. 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*

Address*

Apt, Unit, etc.

City*

State*

Zip*

This form only accepts US addresses.

Is your donation over $100?*

YesNo

For donations over $100, employer name and occupation is required by law to be in compliance with the Fair Political Practices Commission. https://www.fppc.ca.gov/learn/campaign-rules/campaign-disclosure-manuals/

Are you currently employed?

YesNo

Employer Name

Occupation

Choose Amount