Wine with Joaquín

Payment method

Credit Card Electronic Check

Credit Card

Card Number Four_cards

Expiration Date

Security Code (CCV)

Electronic Check

Account Type

Checking Savings

Routing (Bank) Number(omit any dashes or spaces)

Retype Routing Number

Account Number(omit any dashes or spaces)

Retype Account Number

Employment

Campaign finance law requires us to obtain your occupation and employer.

Employer

If self-employed, enter the name of your business; if unemployed enter 'none' or 'retired'.

Occupation

Please complete even if self-employed; enter 'none' or 'retired' if unemployed.

To your one-time donation of $ …

Please consider a tip to Democracy Engine of $ to help us provide this service.

Your total one-time contribution will be $

By clicking the donate button below, I acknowledge that my payment is being made to Democracy Engine, who accepts the responsibility of distributing the funds to my designated recipient(s) in accordance with applicable campaign finance laws. My card or bank statement will show a payment to “Democracy Engine” or “DEMENG” and if there are any issues or discrepancies with the payment or I wish to revoke the payment, I can contact Democracy Engine at support@democracyengine.com. Democracy Engine will charge each recipient an applicable service fee.

By clicking Donate, you confirm that the following statements are true and accurate:

I am at least eighteen years old.
I have read and accept the Democracy Engine Terms of Service, Privacy Policy, and Refund Policy.
I am a U.S. citizen or lawfully admitted permanent resident (i.e., green card holder).
I am making this contribution with my own personal funds and not from funds provided by another person for the purpose of making the contribution.
I am not making a business entity contribution, such as a corporate/LLC/LLP check or a corporate/LLC/LLP credit card.
I am not making contributions, either alone or via related entities, which aggregate more than $500 to the campaign.
I am not making my contribution for any vote or official action or promise to refrain from any vote or official action.
I am not an owner, director, officer, or named sub‐contractor of any entity that has a contract proposal pending with the City and County of San Francisco which is subject to the approval of the Assessor-Recorder or with a state agency on whose board a Assessor-Recorder appointee serves, or of any entity that received such a contract within the last twelve months.
I am not registered to lobby the Assessor-Recorder and have not been registered to do so within the prior 90 days.
I am at least eighteen years old.

Contributions are not tax deductible. Contributions from business entities, including corporations, LLCs and LLPs, are prohibited. Individuals and most non‐incorporated entities may contribute up to $500. Spouses and domestic partners may each contribute the maximum, even if their contributions are made from a joint account, but should submit separate contributions, each signed by the contributing spouse/partner. We may not deposit your payment without your name, street address (no PO boxes), occupation and employer, and may not accept cash, cashier’s checks or money orders of $100 or more. The legal compliance list above sets forth other prohibitions.

Credit Card

Electronic Check

Employment

Paid for by Joaquin Torres for Assessor-Recorder 2022 General Financial disclosures are available at sfethics.org.