Please Join

Francisco Moya,

Democratic Candidate for the NY State Assembly

For a Reception Benefiting

Friends Of Francisco Moya

With Special Guests

Congressman Joseph Crowley

Queens County Democratic Chair

&

Congresswoman Nydia Velázquez

Thursday January 28th

6:00PM to 8:00PM

Tony’s Restaurant

45-16 104th Street 2nd Floor

Corona, NY 11368

For more information or to RSVP please contact Ben Kalish at 978 317 7681
or via email at bkkalish@gmail.com

Paid for by Friends of Francisco Moya.

____ Yes , I will attend and make a contribution of: $250, $175, $100, $50, $25

____ No, I am unable to attend, but please accept my contribution of $_________.

MAKE CHECKS PAYABLE TO: FRIENDS OF FRANCISCO MOYA

Important Contribution Information!

Because of the involvement of Congressman Joseph Crowley and
Congresswoman Nydia Velázquez, federal candidates in this event, we are asking
for donations of up to $2,400 per election, from any individual. We are not
asking for funds from corporations, labor organizations, or other federally
prohibited sources.

The NYS Board of Elections requires the following information:

Contributor Name:
______________________________________________________________

Affiliation:
_____________________________________________________________________

Title:
_______________________________________________________________________

Address:
______________________________________________________________________

City/State/Zip:
_________________________________________________________________

Telephone:
____________________________________________________________________

Email:
_______________________________________________________________________
Paid for by Friends of Francisco Moya.