YOU ARE CORDIALLY INVITED TO

NEW YORK STATE SENATOR

LEE M. ZELDINS
NYC KICK-OFF RECEPTION
HOSTED BY
RON ALEXENBURG HON. RICK LAZIO .HAROLD SIEGEL
Wednesday, January 11, 2012

HON. DANIEL ISAACS ANTHONY MILANO JIMMY SILBER

Patsys Restaurant 236 W 56th Street New York, NY 10019

5:30PM 7:30PM

$10,000 EVENT CO-HOST $5,000 Co-Chair $500 Suggested Ticket

*Sponsorships Include 2 Tickets

$2,500 Sponsor $250 Minimum Ticket

PLEASE RSVP TO: MICHAEL JOHNSON 631.569.4848
MICHAEL@ZELDINFORSENATE.COM

PLEASE MAKE CHECKS PAYABLE TO: ZELDIN FOR SENATE P.O. BOX 628 SHIRLEY, NY 11967

NYC KICK-OFF RECEPTION FOR NEW YORK STATE SENATOR

LEE M. ZELDIN
Wednesday, January 11, 2012 5:30PM - 7:30PM
YES, I (we) will attend the reception to show my (our) support for Senator Zeldin: __ Event Co-Host: __ Reception Co-Chair: __ Reception Sponsor: $10,000 $5,000 $2,500
*Sponsorships Include 2 Tickets

YES, I (we) will attend the reception to show my (our) support for Senator Zeldin by purchasing:

_Ticket(s): $500 Suggested

_Ticket(s): $250 Minimum

NO, I (we) will not be able to attend the reception, however, I (we) would like to make a generous donation to show my (our) support for Senator Zeldin in the amount of:
$100 Full Name Mailing Address City Office Phone E-Mail
____

$250

$500

$1,000

$2,500

$5,000

$10,000

$_____

State

Zip Cell Phone

_____________________________________________

Guest Name

Please make checks payable to Zeldin for Senate or complete the information below to contribute by credit card. Payment can also be made online at: zeldinforsenate.com
$

Visa
___

MasterCard Security Code

____

AMEX

Discover
_____

Card Number Name on Card

Expiration Date

_______________________________________

____________________________

Signature of Contributor

Signature of Spouse (if joint contribution)

________________________________________

Please RSVP by Monday, January 9, 2012

If you have any questions, please contact Michael Johnson: 631.569.4848 or michael@zeldinforsenate.com PAID FOR BY ZELDIN FOR SENATE Contributions are not deductible as charitable donations for income tax purposes. An individual can contribute a maximum donation of $10,300. Corporations can contribute a maximum of $5,000 total during the 2012 Election Cycle.