e.g.I copied and pasted:
Sunday, March 25, 2012
6:00 p.m. – 7:30 p.m.
Paid for by Stabenow for US Senate
Yes! I will attend as a Sponsor ($500 per Sponsor). Please reserve _____ tickets.
Yes! I will attend as a Guest ($100 per Guest). Please reserve _____ tickets.
I cannot attend, but would like to support Senator Stabenow with a contribution of $_______.
Name _____________________________________Address ___________________________________
City/State/Zip ________________________________________________________________________
Employer__________________________________ Occupation ________________________________
Home Phone _______________________________ Office Phone ______________________________
Email: ___________________________________________Fax: _______________________________
Signature: ___________________________________________________________________________
Contributions or gifts to Stabenow for U.S. Senate are not tax deductible. We may accept contributions from an individual
totaling up to $2,500 per election cycle (primary and general). Federal law prohibits contributions to the campaign from
corporations, labor organizations and national banks; from any person contributing another person's funds; from foreign
nationals who lack permanent resident status; and from federal government contractors. By signing above, you affirm that
your contribution is from personal funds and not from funds otherwise prohibited under law.
If this contribution is from more than one individual, such as from a wife and hu*****and, please provide the requested
information and signature for each. If two signatures are provided, you both affirm that your contribution is made from a joint
account. To comply with federal law, we must use best efforts to obtain, maintain and submit the name, mailing address,
occupation and name of employer for individuals whose contributions exceed $200 per election cycle.
