JIM BERNET

Invites you to a special fundraising reception in Poway supporting

CARL DEMAIO FOR CONGRESS

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Saturday April 26th | 1:00PM

Chrome Collision | 13175 Gregg Street, Poway CA 92064

Host: $500
Co-Host: $250
Attendee: $100
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RSVP TODAY - - - - - - - - - - - - - - - - - - - - - - - - -

CALL or TEXT (619) 786-8019 REGISTER ONLINE www.CarlDeMaio.com

EMAIL: Stacia@CarlDeMaio.com
INCLUDE YOUR NAME, PHONE NUMBER AND DATE OF EVENT

Contributions to Carl DeMaio for Congress 2014 are not tax deductible for tax purposes. Individuals may contribute up to a
maximum of $5,200 to the campaign, and a couple may contribute up to 10,400 - $2,600 per individual toward the 2014 primary and
general elections. Corporate contributions and contributions by foreign nationals are prohibited.

Paid for by Carl DeMaio for Congress 2014 PO Box 27227, San Diego, CA 92198
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

CONTRIBUTION FORM
Please process my contribution to CARL DEMAIO FOR CONGRESS for:
$5,200 (max per individual) $2,600 $1,000 $500 $250 $150 Other $ ______

Check payment enclosed

To make a contribution by Credit Card:
Visa MasterCard AmEx Discover
Name on Card: _______________________________________________________
CC Number: _________________________________________________________
Exp Date: ____________

CCV (on back): ______________

Signature: ___________________________________________________________

THE FOLLOWING INFORMATION IS REQUIRED

Occupation: ____________________________

Spouse Occupation: _____________________________

Employer: ______________________________

Spouse Employer: _______________________________

Full Name: _____________________________

Spouse Full Name: ______________________________

Address: _______________________________

Address: ______________________________________

City, State, Zip: __________________________ City, State, Zip: _________________________________

Phone: _________________________________

Phone: _________________________________________

Email: __________________________________

Email: __________________________________________

Email completed form to Stacia@CarlDeMaio.com

Contributions to Carl DeMaio for Congress 2014 are not tax deductible for tax purposes. Individuals may contribute up to a
maximum of $5,200 to the campaign, and a couple may contribute up to 10,400 - $2,600 per individual toward the 2014 primary and
general elections. Corporate contributions and contributions by foreign nationals are prohibited.

Paid for by Carl DeMaio for Congress 2014 PO Box 27227, San Diego, CA 92198
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.