EFTA00621918.pdf

Sam Byrne Bob Crowe David Gasson Woody Kaplan & Jack Manning Invite you to join special guests SENATOR TOM CARPER SENATOR JOE DONNELLY & SENATOR ED MARKEY For a luncheon benefiting the Democratic Senatorial Campaign Committee Monday, December 14'' 12:00 pm — 1:00 pm Nelson Mullins One Post Office Square 30th Floor Boston, MA Suggested Contributions Host: $33,400 per person Sponsor: $10,000 per person Guest: $1,000 per person For further information or to RSVP, please contact Katie Petrelius at Petrelius@dscc.org I (202) 545-3528 Contributions or gifts to the DSCC are not tax deductible. Paid for by the DSCC, www.dscc.org, and not authorized by any candidate or candidate's committee. EFTA00621918 Monday, December 14, 2015 I Boston, MA K I would like to attend the DSCC event with a contribution of $33,400 per person. K I would like to attend the DSCC event with a contribution of $10,000 per person. K I would like to attend the DSCC event with a contribution of $1,000 per person. K I am unable to attend the DSCC event, but would like to support the DSCC with a contribution of ***** * To contribute by personal credit card via our secure website, please contribute online at: www.dscc.org/northeast Please make checks payable to "DSCC" and mail with this completed form to: The Democratic Senatorial Campaign Committee c/o Katie Petrelius 120 Maryland Avenue, NE I Washington, D.C. 20002 Or fax this completed form to 202-969-0390 * * * * * * Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer for individuals whose contributions exceed $200 in a calendar year. Name Address City/State/Zip Occupation Employer Work phone Home Phone Fax E-mail * * * * * * K Visa O American Express K MasterCard Number Expiration Date Name on Card Billing Address (if different from above) Billing City, State, and Zip Code (if different from above) Signature Contributions or gifts to the DSCC are not tax deductible. Paid for by the DSCC, www.dscc.org, and not authorized by any candidate or candidate's committee. EFTA00621919