Jana & Christian Adams

Simone & Greg Katsas

James Burnham
Barbara & Michael Ledeen
Debra & Charles Cooper
Scott McGeary
Cristina & Stephen Cox Chrissy and Robert McWilliams
Tarah & John Delacourt
Jennifer & Aaron Poynton
Cynthia & Noel Francisco
Ilya Shapiro
Allyson & Jim Ho
Kathryn & Gordon Todd
James Hyland
Christian Vergonis

WITH

TED CRUZ
FOR A FUNDRAISING LUNCHEON

THURSDAY

OCTOBER 22ND

VIP RECEPTION
11:30AM - 12:00PM

LUNCHEON

12:00 PM - 1:00 PM

SIDECAR AT P.J. CLARKE'S

1600 K Street NW
Washington, DC 20006

PLEASE RSVP TO
Marissa Akers at makers@tedcruz.org or (713) 353-4331
Paid for by Cruz for President

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

TED CRUZ CONTRIBUTION FORM

$5,400 PER PERSON: Yes, I would like to attend the VIP reception!
$1,000 PER PERSON: Yes, I would like to attend the Luncheon!
I cannot attend, but please accept my contribution of $_____________________.
Name:
Address:

City, State, Zip:

Home Phone:

Cell Phone:

Office Phone:

Fax:

Email:
Employer:

Occupation:

Spouse's Employer:

Spouse's Occupation:

Contribution Referred By (if applicable):

Enclosed is my check payable to "Cruz for President"or please charge my: Amex Discover MC Visa
Total $:

Cardholder Name:

Card Number:

Expiration Date:

CVV:

Required Signature(s): I certify this contribution is drawn on my personal checking account or credit card, represents my
personal funds, and is not drawn on an account maintained by a corporate entity:

Signature of Contributor

Signature of Spouse (if joint contribution)

TO PARTICIPATE: Please contact Marissa Akers at makers@tedcruz.org, 713-353-4331 or mail form to:
P.O. Box 25384, Houston, TX 77265
The maximum contribution an individual may make to Cruz for President is $5,400 ($2,700 to the primary election; $2,700 to the general election). A couple may contribute up to $10,800 from a joint account as long as both individuals sign the check or sign above. A multicandidate federal
PAC may contribute up to $10,000 ($5,000 to the primary election; $5,000 to the general election).
Contributions to Cruz for President are not deductible for federal income tax purposes. Contributions from corporations, foreign nationals and
federal government contractors are prohibited. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer for each individual whose contributions exceed $200 per election.
Paid for by Cruz for President

FEDC0001
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.