— OR — Campaign Name Amount Donate to Tim Dickman for Council Donation Amount $100 $500 $1000 Other i Enter amount between 100 - 6650 Donate Billing details First Name *First Name is a required field.Last Name *Last Name is a required field.Company NameCountry / Region *Country / Region is a required field.United States (US)Street address *Street address is a required field.Address 2Town / City *Town / City is a required field.State / County *State / County is a required field. Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)Postcode / Zip *Postcode / Zip is a required field.Phone *Phone is a required field.Email Address *Email Address is a required field. Additional information Please enter your occupation *Please enter your occupation is a required field. Is this a JOINT donation? Please enter your spouse's occupation *Please enter your spouse's occupation is a required field. Please enter your spouse's employer *Please enter your spouse's employer is a required field. Your order Product Subtotal Subtotal $0.00 Total $0.00 Since your browser does not support JavaScript, or it is disabled, please ensure you click the Update Totals button before placing your order. You may be charged more than the amount stated above if you fail to do so. Update totals Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy. Complete Donation Donate Now!
