Please Join Us for Breakfast with

u.s. Senator
Dick Durbin (D-IL)
Senate Assistant Majority Leader
Wednesday, March 4, 2009
8:00 AM
Phoenix Park Hotel
520 North Capitol Street NW,
Washington DC
Suggested Contribution:
$1,000 Individual
$1,000 PAC
PLEASE RSVP TO (202) 669-5199 OR MANDQEVENTS@YAHOO.COM
Contributions to Friends of Dick Durbin are not tax deductible.
Paid for and Authorized by Friends of Dick Durbin
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Contribution Form
Friends of Dick Durbin - September 24
th
Breakfast
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contribution of
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Please Make Checks Payable to "Friends of Dick Durbin" and Send to:
Friends of Dick Durbin
200 East Jefferson Street
Falls Church, VA 22046
You may also fax this fonn to (70:1) 563- 9590
To comply with federal law, we must use best efforts to obtain, maintain and submit tbe name,
mailing address, occupation and name of employer for individuals whose contributions exceed
$200 per election cycle.
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PAC contributions are limited to $3,000 per election cycle, $5,000 for primary and $5,000 for
general for a total of $10,000. Individual contributions are limited to $4,800 per election cycle
($2,400 to be allocated to the primary and $2,400 to bc allocated to the generai).
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C. Paid for lind Authorized by Friends of D.iek Durbin.
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