Beruflich Dokumente
Kultur Dokumente
NU V SDSU TAILGATE
with Featured Guests
For the NU v SDSU tailgate, please list me as a: _____ $1,000 Benefactor Couple
_____ $500 Host Couple
_____ $250 Sponsor Couple
_____ $100 Couple
Name listing on invitation and host board ________________________________________________________________________
_____ Yes, I will attend the reception for a contribution of $50 per person. ______ seat/s @ $50 each = $ ________.00
_____ No, I am not able to attend the reception but please accept my contribution of $__________.00.
Name: _______________________________________________________________________ Phone: ________________________________
Address: _____________________________________________________________ City:______________________________________
State: _______ Zip: ___________________ Email: _______________________________________________________________________
_____ Visa _____ Mastercard _____ Discover CC #: ________________________________________________________________
Exp. Date ____/_____ Sec. code: _______ Signature: ____________________________________________________
Make checks payable to: The Nebraska Republican Party ~ 1610 ‘N’ Street ~ Lincoln, NE 68508.
Contributions are not deductible for Federal Income Tax purposes. Contributions by foreign nationals are prohibited.
Federal Law requires us to collect and report the name, mailing address, occupation and name of employer for each individual whose contributions
exceed $200 in a calendar year. Please provide the following: