SAVE THE DATE

You are cordially invited to attend a reception honoring

SCOTT BROWN
Republican Candidate for U.S. Senate from New Hampshire
Former U.S. Senator from Massachusetts



Thursday, September 25, 2014
Reception: 6:00 p.m.
Contribute $1,000

Private Dinner: 7:00 p.m.
Raise or Contribute $5,000

The Harvard Club
27 West 44
th
Street
New York, NY 10036





Kindly RSVP by contacting Mindelynn Young
Phone: (978) 578-1222 | Mindelynn@scrandassociates.com




Paid for by the New Hampshire for Scott Brown Committee



Reception and Private Dinner Honoring Scott Brown
Thursday, September 25
th
, 2014

The Harvard Club
27 West 44
th
Street | New York, NY
[ ] I will attend the Reception. Enclosed is my contribution of $1,000.
[ ] I will attend the Private Dinner. Enclosed is my contribution of $5,000 or $ _________.
[ ] I am unable to attend the reception. Enclosed is my contribution of $ ____________.

ALL CONTRIBUTORS PLEASE READ AND COMPLETE:
Contributions or gifts to New Hampshire for Scott Brown Committee are not deductible as charitable contributions for Federal income tax purposes.
Under Federal law, the maximum amount an individual may contribute is $2,600 ($5,200 per couple) per election. Federal multicandidate PACs may
contribute $5,200 per election. Contributions from corporations, labor unions, federal-government contractors, national banks, foreign nationals
without permanent residency status (non-green card holders), and minors under the age of 18 are prohibited. I am a U.S. citizen or permanent
resident and this contribution will not be reimbursed by another person. Federal law requires us to obtain and report the name, mailing address,
occupation and name of employer for each individual whose contributions aggregate in excess of $200 per election cycle.

PLEASE NOTE: By contributing you authorize the receipt of electronic communications from New Hampshire for Scott Brown Committee. You can opt
out at any time by replying remove to an email you receive.
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Please make checks payable to: New Hampshire for Scott Brown
SCR & Associates
100 TradeCenter, Suite G-700
Woburn, MA 01801

Credit Card Contributions: This contribution to New Hampshire for Scott Brown is drawn on my personal credit card, represents my
personal funds, and is not drawn on an account maintained by an incorporated entity.

To make your personal payment by credit card, please complete the following information:
Visa MasterCard American Express Discover
Amount of Contribution: $_______________ Cardholder Name (print): ___________________________________________________
Card Number __________________________________________ Exp. Date _____________ CVV: ________ Billing Zip _____________
Signature of Contributor: _________________________________________________________________________________________
Signature of Second Contributor (if joint contribution): _________________________________________________________________
For more information or to RSVP, contact Mindelynn Young at (978) 578-1222 or Mindelynn@scrandassociates.com
Fundraiser ID: 538 Event Code: NANY007

Paid for by the New Hampshire for Scott Brown Committee