Mr. Angel “Hank” Cintron & Mrs.

Angelette Cintron-Aviles
Cordially invite you to a fundraising reception honoring

MARCO RUBIO

Monday, March 1st, 2010

At the office’s of

5426 Bay Center Drive, Suite 100

Tampa, Florida 33609

5:30 p.m. to 7:00 p.m.

Maximum Contribution: $4,800 p/p

The maximum an individual may contribute to Marco Rubio for U.S. Senate Committee is $2,400 for the primary election AND $2,400 for the general election for
a total of $4,800. Married couples may donate a maximum of $9,600 if the check is drawn from a joint account and both signatures are provided on the check.

Personal & PAC Checks Allowed, No Corporate Contribution

You may also contribute online at www.marcorubio.com

Or mail your contribution to:
Marco Rubio for U.S. Senate, Inc.
4031 South LeJeune Road
Coral Gables, Florida 33146

Kindly RSVP to Angelette C. Aviles by Feb. 26

at 813.679.0515 or Aaviles@AmericasMarketing.com

Paid for by Marco Rubio for U.S. Senate Committee

 DONOR FORM

Please make check(s) payable to: “Marco Rubio for U.S. Senate, Inc.”
4031 South LeJeune Road
Coral Gables, Florida 33146

Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual
whose contributions aggregate in excess of $200 in an election cycle.
CONTRIBUTOR INFORMATION

Name: Prefix: _______ First: ____________________ Middle:_________ Last: ____________________________________

Address:___________________________________________________________ Home Phone: ________________________
City:_________________________________ State:________ Zip:___________ Work Phone: _______________________
Employer: _______________________________________ Cell Phone: _________________________
Occupation:________________________________________ Email:____________________________________________
Assistant’s Name and Contact Information: ___________________________________________________________________
This contribution to Marco Rubio for U.S. Senate, Inc. made by check or credit card represents my/our personal funds and is not
drawn on an account maintained by an incorporated entity.

SIGNATURE:_______________________________________________________

JOINT CONTRIBUTOR INFORMATION

Name: Prefix: _______ First: ____________________ Middle:_________ Last: ____________________________________

Employer: ______________________________________ Occupation ___________________________________________
If this contribution is intended to be a contribution from a couple, signature of spouse must be provided.

SIGNATURE:_______________________________________________________

CREDIT CARD CONTRIBUTIONS

Credit Card: (circle one) VISA MasterCard American Express Discover

Card Number:__________________________________________________________________________________________

Amount: $________________________________________ Expiration Date:______________________________________

Cardholder Name:__________________________________ Signature:____________________________________________

Contributions are not tax deductible for federal income tax purposes. The maximum an individual may contribute is $4,800
($9,600 per couple). Contributions by corporations, foreign nationals (non green-card holders), and federal government
contractors are prohibited.
Event Code: ________________________ Fundraiser ID: _____________________

Paid for by Marco Rubio for U.S. Senate Committee