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10-13-11 NY Senate Invite and Reply Forms

10-13-11 NY Senate Invite and Reply Forms

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Published by: towleroad on Sep 07, 2011
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09/07/2011

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Event Chairs
Michael R. BloombergTim GillPaul E. Singer
Co-Chairs
Donald A. CapocciaDaniel S. LoebFrank Selvaggi & Bill Shea
Host Committee
Jeff CookBrian EllnerPatrick GuerrieroBill SmithMarc SolomonCordially Invite YouTo a Reception in Celebration of Marriage Equality in New YorkIn Honor of 
New York State Senators
James S. AlesiMark J. GrisantiRoy J. McDonaldStephen M. SalandThursday, October 13, 2011
Wine & Hors d’oeuvres
 5:30
 –
7:00 PMUnion League Club38 East 37
th
StreetNew York City
Please
e-scan completed attached forms with your credit card 
information for each State Senator and email to:SRalston@SusanRalston.com
or you can complete each form and attach a check for each State Senator and mail to
:Susan Ralston/SBR Enterprises LLC590 Madison Ave, Suite 2100New York, NY 10022For questions or to RSVP contact Susan Ralston atSRalston@SusanRalston.comor call 202-309-1516.
 
REPLY FORM
Friends of Jim Alesi
R- 55
th
District
 ______ Yes,
___# will attend. Please find my check enclosed and recognize me at the following level: ______ *
Platinum Level:
$16,800  ______
Gold Level:
10,000 ______
Silver Level:
$6,500OTHER LEVELS OF PARTICIPATION TO ATTEND EVENT: ______ $2,500 ______ $1,000 ______ $500 ______ $250
 ______ No,
I am unable to attend the event however, enclosed is my contribution of $___________*
Includes primary and general election limits. In the event there is no primary election, excess contributions will be refunded.
 These limits relate to contributions by
individuals & partnerships
. Any partnership contributions in excess of $2,500must be allocated amongst the individual partners, (please provide separate list of partners contributing, includeamount, name, address and employer/occupation).
Please make checks payable to
Friends of Jim Alesi
and mail to: 
SBR Enterprises LLC(this MUST be on the envelope)590 Madison Avenue, Suite 2100, New York, NY 10022
E-Scan
the completed forms with your credit card information to Sralston@SusanRalston.com.  For questions and RSVP call 202-309-1516. 
For compliance with NYS Election Law, please provide the following information *:
*Name:______________________________________________________________________________________*Address:____________________________________________________________________________________Cell #________________________________________Email _________________________________________Business #:____________________________________Fax #:__________________________________________Contributions are not tax deductible as charitable contributions for State or Federal income tax purposes.
 
Credit Card Contribution
Visa
 
MasterCard
 
Discover
 
Amex
 
Name as it appears on card:_____________________________________ Amount: $_______________Card #:_____________________________________________ Exp. Date:_____________Code:______Signature:_______________________________________________________
 
REPLY FORM
Grisanti for Senate
R- 60
th
District
 ______ Yes,
___# will attend. Please find my check enclosed and recognize me at the following level: ______ *
Platinum Level:
$16,800  ______
Gold Level:
10,000 ______
Silver Level:
$6,500OTHER LEVELS OF PARTICIPATION TO ATTEND EVENT: ______ $2,500 ______ $1,000 ______ $500 ______ $250
 ______ No,
I am unable to attend the event however, enclosed is my contribution of $___________*
Includes primary and general election limits. In the event there is no primary election, excess contributions will be refunded.
 These limits relate to contributions by
individuals & partnerships
. Any partnership contributions in excess of $2,500must be allocated amongst the individual partners, (please provide separate list of partners contributing, includeamount, name, address and employer/occupation).
Please make checks payable to
Grisanti for Senate
and mail to: 
SBR Enterprises LLC(this MUST be on the envelope)590 Madison Avenue, Suite 2100, New York, NY 10022
E-Scan
the completed forms with your credit card information to Sralston@SusanRalston.com.  For questions and RSVP call 202-309-1516. 
For compliance with NYS Election Law, please provide the following information *:
*Name:______________________________________________________________________________________*Address:____________________________________________________________________________________Cell #________________________________________Email _________________________________________Business #:____________________________________Fax #:__________________________________________Contributions are not tax deductible as charitable contributions for State or Federal income tax purposes.
 
Credit Card Contribution
Visa
 
MasterCard
 
Discover
 
Amex
 
Name as it appears on card:_____________________________________ Amount: $_______________Card #:_____________________________________________ Exp. Date:_____________Code:______Signature:_______________________________________________________

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