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JOIN PRESIDENT BARACK OBAMA IN PORTLAND

Please join President Obama for an afternoon reception with supporters like you in Portland.

*First Name

*Last Name

*Address

What:
Obama Victory Fund 2012 - Afternoon Reception with President Obama

*City *State *Email Address

*Zip

*Phone Number

Where:
Portland Marriott At Sable Oaks 200 Sable Oaks Drive South Portland, ME

Tickets
x $100.00 General Admission
Limited Number of Tickets

When:
Friday, March 30, 2012 Afternoon Reception Exact Time TBD To attend, please RSVP using the form to the right. For more information, please Contact Us $ 0 items , $0.00 x $250.00 Friend

x $500.00 Preferred Section

x $10,000.00 Co-Host
Includes Photo Reception

I Cannot Attend, But Please Accept My Contribution Of:

Credit Card

*Card Number *Expiration Month Year

Employment
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and employer of individuals whose contributions exceed $200 in an election cycle. *Employer *Occupation

Legal Compliance
Check this box to confirm that the following statements are true and accurate:
1. I am a United States citizen or a lawfully admitted permanent resident of the United States. 2. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank. 3. This contribution is not made from the treasury of an entity or person who is a federal contractor. 4. This contribution is not made from the funds of a political action committee. 5. This contribution is not made from the funds of an individual registered as a federal lobbyist or a foreign agent, or an entity that is a federally registered lobbying firm or foreign agent. 6. I am not a minor under the age of 16. 7. The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.

Additional Information
Guest Name(S) If More Than One Ticket Purchased

Who Encouraged You To Make This Contribution?

Contributions or gifts to Obama Victory Fund 2012 are not tax deductible. The first $5,000 of a contribution to OVF 2012 will be allocated to Obama for America (with the first $2,500 designated for the primary election, and the next $2,500 for the general). The next $30,800 of a contribution will be allocated to the Democratic National Committee. A contributor may designate a contribution for a particular participant. This allocation formula may change if following it would result in an excessive contribution.

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PAID FOR BY OBAMA VICTORY FUND 2012, A JOINT FUNDRAISING COMMITTEE AUTHORIZED BY OBAMA FOR AMERICA AND THE DEMOCRATIC NATIONAL COMMITTEE.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

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