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Sponor Reply Form

Sponor Reply Form

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Published by NCGOP

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Published by: NCGOP on Sep 19, 2011
Copyright:Attribution Non-commercial

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11/14/2013

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2011 NCGOP Hall of Fame Banquet
Sponsorship Form
H
OST
 
C
O
-H
OST
 
S
PONSOR
 
R
ECEPTION
S
PONSOR
$5,000 $2,500 $1,000$2,000
M
ETHOD
 
OF
P
AYMENT
:
 
Check
 
 
Credit Card
C
REDIT
C
ARD
I
NFORMATION
:
 
 
Visa
 
 
MasterCard
 
 
AmEx
 
Discover
 ________________________________ 
 
 ________ 
/
 ________ 
 Account # Exp. Date
 ________________________________________________
Signature
 
 Amount 
 _____________________________________________________ 
Name on Card 
 NameMailing AddressCity, State & ZipHome PhoneOffice PhoneCellEmailOccupationEmploye
P
LEASE
R
ETURN
T
O
:
NCGOP Hall of FamePost Office Box 12905Raleigh, NC 27605
C
ONTACT
:
 Jennifer Behr, Finance Director(919) 828-6423behr@ncgop.org
Contributions to the North Carolina Republican Party are not deductible as charitablecontributions for federal income tax purposes. Contributions from corporations and foreignnationals are not permitted. Funds received in response to this solicitation will be subject tofederal contribution limits. Federal law requires political committees to use their best efforts
Paid for by the North Carolina Republican Party.1506 Hillsborough Street, Raleigh, NC 27605 www.ncgop.org Not authorized by any candidate or candidate’s committee.

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