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AMBASSADOR CHARLES A.

GARGANO
ALONG WITH

SENATOR CONNIE MACK III


CORDIALLY INVITE YOU TO ATTEND A RECEPTION WITH SPECIAL GUESTS

MAYOR RUDY GIULIANI


FORMER MAYOR OF NEW YORK CITY

GOVERNOR GEORGE PATAKI


FORMER GOVERNOR OF NEW YORK

CONGRESSMAN CONNIE MACK


CANDIDATE FOR US SENATE - FL
TO SUPPORT

FREEDOM PAC
FREEDOM PACS PRIMARY PURPOSE IS TO ELECT CONNIE MACK TO THE US SENATE IN THE STATE OF FLORIDA
AT HOME OF

AMBASSADOR CHARLES GARGANO 409 JOBS LN BRIDGE HAMPTON, NY

SATURDAY, AUGUST 11, 2012


5:30PM - 7:00PM
$1,000 PER PERSON TO ATTEND $5,000 PER COUPLE HOST COMMITTEE $10,000 PER COUPLE CO-CHAIR FOR ADDITIONAL INFORMATION & TO RSVP, PLEASE CONTACT GRETCHEN PICOTTE AT 407-849-1112 OR GP@POLITICALCAPITALFLORIDA.COM
ALL FUNDS SOLICITED IN CONNECTION WITH THIS EVENT ARE BY FREEDOM PAC, AND NOT BY CONGRESSMAN MACK. www.FreedomPACFL.com
Paid for by Freedom PAC Not authorized by any candidate or candidate's committee.

Yes! You can count on me/us participating at the following level: I/We will attend the reception - $_________ per person. Names of people attending: _______________________. I/We are unable to attend, however enclosed is my/our contribution in the amount of $_________.

Please make checks payable to: Mail To:

Freedom PAC FL Political Capital, 250 N. Orange Ave., Orlando, FL 32801 For additional information, please contact: Gretchen Picotte at 407-849-1112 or GP@PoliticalCapitalFlorida.com Bank: Capital One Bank 424 Madison Avenue New York, NY 10017 Contact: Mark Kraehling ABA#: 021407912 Account# 7527225382

You can wire your contribution to the following account: Account Name: Freedom PAC 150 Broadway, Suite 1011 New York, NY 10038 Attn: Julie Pyun, Treasurer

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in a calendar year.
CONTRIBUTOR INFORMATION

Name: Prefix: _______ First: ____________________ Middle: _________ Last: ___________________________________ Address:___________________________________________________________ Home Phone: _______________________ City:_________________________________ State:________ Zip:___________ Work Phone: _______________________

Employer: _______________________________________ Amount: ___________ Cell Phone: ______________________ Occupation:________________________________________ Email:____________________________________________

Assistants Name and Contact Information: ___________________________________________________________________ Signature: _______________________________________________________ Date: ___________
CREDIT CARD CONTRIBUTIONS

Credit Card: (circle one)

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This card is used for: Business Personal If business, name of business: _____________________________ Card Number:__________________________________________________________________________________________ Amount: $_____________________ Expiration Date: ________________________________ CSC: ____________________ Cardholder Name:__________________________________ Signature:______________________________ Date: ________
Contributions to Freedom PAC are not deductible as charitable contributions for federal income tax purposes. Contributions from foreign nationals, from an organization that isn't a domestic U.S. entity, or from the treasury of an entity or a person who is a federal contractor are not permitted. Freedom PAC does not coordinate with, or make contributions to any candidates or political party committees. Freedom PAC is registered with the Federal Election Commission as an independent expenditure committee.

www.FreedomPACFL.com
Paid for by Freedom PAC Not authorized by any candidate or candidate's committee.

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