P
LEASE
J
OIN
Senator Dianne Feinstein & RichardBlum
F
OR A RECEPTION
&
DINNER TO BENEFIT THE
Heartland Victory Fund
W
ITH
Senator Jon Tester, MontanaSenate Candidate Bob Kerrey,NebraskaSenate Candidate Heidi Heitkamp,North Dakota
A
T
T
HE
H
OME
O
F
Senator Dianne Feinstein & RichardBlum
S
AN
F
RANCISCO
,
C
ALIFORNIA
(A
DDRESS
P
ROVIDED
U
PON
RSVP)
F
RIDAY
,
J
UNE
1,
2012
6:30
PM
R
ECEPTION
|7:00
PM
D
INNER
For more information, or to RSVP, please contact Stefanie Roumeliotes at415-402-0303 or stefanie@sgrconsultants.com
Contributions or gifts to the Heartland Victory Fund 2012 are not tax deductible.Paid for by Heartland Victory Fund 2012, a joint fundraising committee authorized byFeinstein for senate, Montanans for Tester, Nebraskans for Kerrey, McCaskill forMissouri 2012, Heidi for Senate and the Democratic Senatorial Campaign Committee,Inc.
June 1, 2012 | San Francisco,California
o
Yes, I/we would like to attend the event as a Sponsor (write/raise $35,800 per couple)
o
Yes, I/we would like to attend the event as a Friend (write $15,000 per individual)
o
I/we cannot attend, but would like to support the event with a contribution of $_________ An individual can contribute as much as $53,300 to the Heartland Victory Fund.A couple can contribute as much as $106,600 to the Heartland Victory Fund.
Please make checks payable to “Heartland Victory Fund 2012”And mail with this completed form to:Heartland Victory Fund 2012ATTN: Emily Sullivan120 Maryland Avenue, NE, Washington, DC 20002For PERSONAL credit card contributions please fax this completed form to 202-314 3231.
FEDERAL LAW REQUIRES US TO USE OUR BEST EFFORTS TO COLLECT AND REPORT THE NAME,MAILING ADDRESS, OCCUPATION, AND THE NAME OF EMPLOYER FOR INDIVIDUALS WHOSECONTRIBUTIONS EXCEED $200 IN AN ELECTION CYCLE
.
N
AME
A
DDRESS
_________ C
ITY
/S
TATE
/Z
IP
__________ O
CCUPATION
E
MPLOYER
__________ W
ORK
P
HONE
H
OME
P
HONE
_________________ F
AX
E-
MAIL
__________
o
V
ISA
o
A
MERICAN
E
XPRESS
o
M
ASTER
C
ARD
N
UMBER
_______________________ E
XPIRATION
D
ATE
N
AME ON
C
ARD
_________________ S
IGNATURE
____
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