We cordially invite you to join us for a breakfast with

Kirsten Gillibrand
United States Senator - New York
Wednesday, May 6
th
8:30 am - 9:30 am
Johnny's Half Shell
The Blue Room
400 North Capitol Street, NW
Washington, DC
Suggested Contribution Levels:
S5,000for Co-Host, S2,500for Spon!ior and S1,000for Patron
To learn more about Kirsten, visit http://kirstenl:iIIibrand.com/
RSVP: (202) 669-5199 or mandqevents@yahoo.com
Contributions or gifts to Gillibrandfor Senate are not deductible for federal income tax purposes. Contributions
from corporations, labor organizations' treasuryfimds andforeign nationals are prohibited.
Waid for by Gillibrand for e n t ~
This fax was sent with GFf FAXmaker fax server. For more information, visit: http://www.gfLcom

RSVP
Breakfast and Conversation with Senator Kirsten Gillibrand on May 6, 2009
Yes! l!We would like to attend at the followlngillvel: 0 Co-Host: $5,000 per porson or PAC
o $2,500 per person or PAC
o Patron: $1,000 per porson or PAC
Unfortunately, I cannot attend but I would like to make a conlriJution in the amount of $ _
To contribule by PERSONAl check, please make your contribution payable to "Gillibrand for Senato." To contribute by PERSONAl crell! card, please provide the
information below:
Please charge $ to my personal, not corporate, card: Visa / Mastercard / AMEX
Name ofCardholder: _
Credit Card#:. Exp. Date: _
Please fax credit card contributions to (866) 681-6746
Plea.email checks to: GiBibrand for Senate, 1415 North Tan Street,Suite471,Mington,VA 22201
PlNse sign below: I designate my conlIibulion(s) to Gillibrand for Senate, as follows,the frsl $2,400 for the 2010 Senate primary election, and anyaddlional
amount that I corUibule up to 52,400 for the 2010 Senate general election. I am making this contribution wih my own personal funds and not with funds provided by
any other person.
SignatJJre Required: secondSignature for Joint Accounts: _
Contributions to Gilibrand for Senate are subject to the prohibitions and limhlions of the Federal Election Campaign Act. An individual may contribute a maximum
amount of $2,400 per election (the primary and general are separate elections) to a federal candidate. Federal mullkandidate pollical action commltees (PACs)
may contribute lip to $5,000 per elaction. ConlribuliOI1$ from corporations, labor organization treasury funds, foreign nationals, and federal government contractors
are prohibited. ,All contributions must be from the contributor's personal fiJtds. Corporations and individuals are strictly prohibited from reimbursing another person for
making a conlribulion to Gllibrand for Senate.
To comply with federal law, we must use our best ellorts to obtain and report the name, maing address, occupation and employer of all individuals whose
contributions aggregate in excess of $200 per election cycle.
Contributor'1:
Namo:. E-Uail: _
Occupation:. Employer. _
Addre.: _
City: State:. Zip: _
Home Phono: Work Phono: _
MobOePhone:. Fax:. _
Contributor 12 app6cable):
Name:. E-Uail: _
Occuplltion: Employer. _
Addro.: _
City: Stalo:. Zip: _
HomePhone: Work Phono' _
MobnePhone: Fex: _
)0 Raised by (If applicable): _
Contributions to Gillibrand for Senate are not tax deductible for federal income tax purposes_
IPilli:ffur by Gillibrand for
This fax was sent with GFI FAXmaker fax server. For more information, visit: http://www.gfi.com