The Hon.

Howard “Buck” McKeon, Member of Congress

The Hon. Michael D. Antonovich, Supervisor, LA County, 5th District
The Hon. Don Knabe, Supervisor, LA County, 4th District
The Hon. Mario Guerra, Councilmember, City of Downey
The Republican National Hispanic Assembly of Greater Los Angeles
Luis Alvarado and Moises Merino
Cordially Invite You To An
Exclusive Los Angeles County Reception Supporting
Congresswoman
Ileana Ros-Lehtinen (R-FL)
Chair, House Foreign Affairs Committee

Friday, April 8, 2011 • 6:30 to 8:30pm

THE COLUMBIA MEMORIAL SPACE CENTER
12400 COLUMBIA WAY, DOWNEY 90242
(JUST NORTH OF THE 105 FREEWAY)
Catered by Porto’s Bakery
For information please contact $150 Per person
SHEILA McNICHOLS – 626-969-1304 $100 RNHA LA Members
Or sheila@rnhala.org $1,000 VIP reception/photo op

□ Yes, I/we would like to attend. Please make reservations for ________ individual(s) at $ Host Committee/Per Person.
□ No, I/we cannot attend but will contribute: □ $5,000 □ $1,000 Host Committee □ $150 per person □ $100 RNHALA members
Make check payable to ROS-LEHTINEN FOR CONGRESS and mail to: 417 W. Foothill Blvd., #453, Glendora CA 91741 or fax to: 818-230-1953
To contribute by personal credit card, please complete the following: Please circle one:
________________________________________________________________________________________________________________
Name on Card Signature
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Card Number Expiration Date Amount

Billing Address for Credit Card___________________________________________________________________________________________________________________

My signature verifies that this contribution represents my personal funds and is not drawn on an account maintained by an incorporated entity or other prohibited sources.

____________________________________________________________________________________________________________________________
Signature of Contributor Signature of Spouse (if joint account on credit card or check contribution)
ALL CONTRIBUTORS MUST COMPLETE THE FOLLOWING INFORMATION. W E ARE REQUIRED TO REPORT THE NAME, ADDRESS , OCCUPATION AND EMPLOYER OF ALL CONTRIBUTORS* AND THE OTHER
CONTACT INFORMATION IS NECESSARY FOR US TO REACH YOU.

_____________________________________________________________________________________________
Full Name Spouse Name (joint contribution only)
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Employer Spouse’s Employer (joint contribution only)
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Occupation Spouse’s Occupation (joint contribution only)
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Address City State Zip

____________________________________________________________________________________________________________________________________________
Home Phone Office Phone Email

Contributions or gifts to Ros-Lehtinen for Congress are not tax deductible as charitable contributions for federal income tax purposes. Contributions from corporations, labor unions, national
banks, federal contractors and foreign nationals are prohibited. Federal law“Not printed
requires us to useatour
government
best efforts to expense”
collect and report the name, mailing address, occupation and name of employer
of individuals whose contributions exceed $200 in an election cycle. Contributions to Ros-Lehtinen for Congress are limited to $2,500 per election from individuals and non-multicandidate
PAC’s, and $5,000 per election from multicandidate PAC’s. FEC ID # 650377605“Not printed at government expense”

Paid for by Ros-Lehtinen for Congress

“Not printed at government expense”