Sie sind auf Seite 1von 2

Cordially invites you to a lunch

Honoring

Senator Tim Johnson


Congresswoman Shelley Berkley


Candidate for Senate

Wednesday, July 25, 2012 12:30 1:30 pm Hotel George 15 E Street, NW Washington, DC
Contribution Levels

$2,500 PAC Host $1,500 PAC Sponsor $2,500 Individual Host $1,000 Individual Sponsor
Please RSVP: Cliff & Pattie 703-354-7444 Cliff@chpf.net Berkley for Senate P.O. Box 636 Annandale, VA 22003

Name_____________________________________________________ Street Address______________________________________________ City/State/Zip_______________________________________________

Wednesday, July 25, 2012 Lunch 12:30 1:30 PM

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Email ____________________________________________________ Phone (W)__________________________(H) ____________________ Occupation_________________________________________________ Name of Employer___________________________________________ Credit Card #_________________________________Exp Date_______ Signature__________________________ Amount__________________ Type of Card: Visa Master Card American Express Please make checks payable to:

Contributions or gifts to Berkley for Senate are not tax deductible. We may accept contributions from an individual of $2500 for the general election. Federal multi-candidate PACs may contribute up to $5,000 for the general election Federal law prohibits contributions to Berkley for Senate from corporations, labor organizations and national banks; from any person contributing another persons funds; from foreign nationals who lack permanent resident status; and from federal government contractors. By signing below, you affirm that your contribution is from personal funds and not from funds otherwise prohibited under law. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle. Signature: ________________________________________

Berkley for Senate P.O. Box 636 Annandale, VA 22003

Paid for and Authorized by Berkley for Senate.

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.