EFTA00613380.pdf

Mort Zuckerman cordially invites you to his New York home for a private reception honoring Senator Max Baucus Sunday, December 2nd, 2012 6:30 pm — 7:30 pm General Reception Host Reception Details Available Upon RSVP The Home of Mort Zuckerman 950 Fifth Avenue (Entrance on 76th Street) New York, NY Host $10,000 Friend $2,500 Attend $1,000 Please make checks payable to: Friends of Max Baucus 122 C Street NW, Suite 240 Washington, DC 20001 For more information or to RSVP, contact Maura Hagerty at 202-775-9100 or Maura.r.hagerty@gmail.com Paid for by Friends of Max Baucus Contributions or gifts to Friends of Max Baucus are not tax deductible. EFTA00613380 Friends of Max Baucus Contribution — 12/2/12 Reception FEC #: C00328211 I/We will attend as a HOST and write/raise $10,000. I/We will attend as a CO-HOST and write/raise $5,000. I/We will attend and contribute $ I cannot attend but would like to contribute $ * An individual may contribute a maximum amount of $5,000 ($2,500 for both the primary and the general) to a federal candidate. *Contributions may also be made online at www.maxformontana.com. Federal Law Requires Us To Use Our Best Efforts To Collect And Report The Name, Mailing Address, Occupation, And Employer For Each Individual Whose Aggregate Contributions Are In Excess Of $200 In An Election Cycle. Contributions From Corporations, Labor Unions, Federal Contractors, National Banks and other Federally Prohibited Sources Are Not Permitted. Name Address City/State/Zip Employer Occupation Phone Fax Email Please make checks payable to: Friends of Max Baucus 122 C Street NW, Suite 240, Washington, DC 20001 Or you can fax a credit card contribution to (202) 347-6140 Please bill my personal credit card: K Visa K Mastercard K AMEX Card Number: Exp: Sec. Code: Name as it appears on the card: Billing Address: Signature: Paid For by Friends of Max Baucus. Contributions Are Not Tax Deductible. EFTA00613381