StreetsPAC Donation Form
Thank you for your donation.
Please complete the information below & make checks payable to “StreetsPAC” at the following address.

StreetsPAC
17 Battery Place, Suite 204
New York, NY 10004

Donations to StreetsPAC are not tax-deductible.

First Name
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Last Name
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Country
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Street Address
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City
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State
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Zip Code
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Email
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Phone
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Employer
Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation. If you are doing business with the City, enter the agency and business category. List the "Doing Business Entity" and your relationship in the 'Employer' and 'Occupation' fields.
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Occupation
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City Agency
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Business Category
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