Alexander Burns

John Jay LaValle
Suffolk County Republican Chairman

&
Edward F. Cox
New York Republican State Committee Chairman

Cordially invite you to a wine tasting honoring

Robert P. Astorino
Westchester County Executive
Saturday, January 11th, 2014
2:00pm to 3:30pm
Lieb Cellars Oregon Road
13050 Oregon Road
Cutchogue, NY 11935
$1,000 Gold Sponsor
$500 Silver Sponsor
$250 Per person
RSVP to Erin at events@robastorino.com or 917-838-1645

PLEASE INCLUDE THIS FORM WITH YOUR CONTRIBUTION

❏ Yes, I/We will attend the reception for County Executive Robert Astorino
on Saturday, January 11th, 2014!

❏ No, I/We are unable to attend but would like to contribute $_________to

Friends of Rob Astorino.

Number of People Attending: _________for $___________contribution
Name(s)________________________________________________________________________________________________
Address____________________________________________City___________________________ State______Zip_________
Email___________________________________________________ Work Phone_____________________________________
Home Phone____________________________________________ Mobile Phone_____________________________________
TO DONATE BY CREDIT CARD PLEASE FILL IN THE FOLLOWING INFORMATION:
Cardholder Name_________________________________________________________ Amount of Donation ______________
Circle One: Visa – MasterCard – AMEX Security Code (3 digit code on back of card or 4 digit code on front of AMEX)______________
Card Number __________________________________________________________________Exp Date __________________
Billing Address____________________________________________City___________________________ State____Zip______
Required Signature
_______________________________________________________________________________________________________

Please make checks payable to Friends of Rob Astorino and mail to:
Friends of Rob Astorino
PO Box 100, South Salem, NY 10590
Personal, PAC and Corporate contributions are acceptable and will be deposited according to New York State
Election Law. Individuals may contribute $27,603 for the General election. Contributions from spouses do not
count against this total. A corporation may contribute up to $5,000 per calendar year to all state or local
political candidates combined. (Each affiliated or subsidiary corporation, if a separate legal entity has its own
limits.) Contributions from LLPs and LLCs are treated as individual contributions. Contributions from foreign
nationals are prohibited. An individual residing in the United States who possesses a green card may
contribute.
Political contributions are not tax deductible.
WINE 1/11/14

robastorino.com
Paid for by Friends of Rob Astorino

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