Give the Gift of Local Government!

Step 1: Calculate cost for each gift recipient

Step 2: Provide contact information and gift details for each gift recipient

Fill in the information below; we need to determine which voting precinct the gift receiver is in.

Step 3: Reload page for each gift recipient (keep track of the total)

Step 4: Fill in the billing information for the total purchase; confirmation with purchase details will be sent by email

Payment Information

Personal Information

Billing Address

Card Information


NOTICE: All Credit Card information is encrypted and made unreadable before it is processed from this form.