Reception to Elect

The Hotel San Bernardino

Martinis Lounge
285 E. Hospitality Ln., San Bernardino
Wednesday, July 30th, 430-6PM
I/We will attend the Reception and contribute $100 per person.
Name of Guests:__________________________________________________________
I/We will attend the Reception and would like to be a Silver Sponsor & contribute $500.
I/We will attend the Reception and would like to be a Gold Sponsor & contribute $1000.
I/We will attend the Reception and be Platinum Sponsor by making a contribution of $2,500 per couple.
I am unable to attend the event, but would like to contribute $__________.
Please charge $____________ to my
VISA
MASTERCARD
AMERICAN EXPRESS
Credit Card #____________________________________ Exp.____________ Card Security Number ________

R.S.V.P to Brenda Chabot at (909) 243-2184

or email Brenda@ChabotStrategies.com
Facsimile (909) 457-4120
Please make checks payable to: Paul Chabot for Congress
And mail to: 12223 Highland Ave. Suite 106-228, Rancho Cucamonga, CA 91739
Campaign finance laws require that we obtain the following information:

Name

Occupation

Business Address
Phone

Employer
City/State/Zip

Fax

Email

The contribution to Paul Chabot for Congress represents my personal funds, is not drawn on an account
maintained by an incorporated entity and will not be reimbursed by another.
Signature of Contributor____________________ Spouse (if joint contribution)__________________
All individuals may not contribute more than a total of $2,600 per election to the committee. Federal law prohibits contributions to the committee
from the general treasury funds of a corporation, labor organization or national bank (including corporate or other business entity credit cards), from
any person contributing anothers funds, from a federal government contractor, or from a foreign national who lacks permanent resident status.
Contributions are not deductible for federal income tax purposes. Federal election law requires political committees to use best efforts to report the
name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 during an election cycle.
Paid for by Paul Chabot for Congress

FEC ID # C00557884

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.