Thank you for supporting our campaign.

Checks may be made payable to
"New Yorkers for Kallos" and
mailed along with this form to:

New Yorkers for Kallos
c/o Nashban Mansur
32 Union Square East
New York, NY 10003

Or use the form below to pay online.

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Credit Card Information
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Security Code Location on Credit Card
Usually the last 3-4 digits in the signature area on the back of the card.
Billing Name and Address
Enter the name as shown on your credit or debit card, and the billing address for this card.
NYCCFB Campaign Finance Profile

To comply with New York City Campaign Finance Board reporting requirements, please provide the following information:

  I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan; in addition, in the case of a credit card contribution, I also hereby affirm that this contribution is being made from my personal credit card account, billed to and paid by me for my personal use, and has no corporate or business affiliation.
  If a contributor has business dealings with the City as defined in the Campaign Finance Act, such contributor may contribute only up to $250 for city council. If you are “doing business” with the City, please complete the following: