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Sam Altman & Marissa Mayer

And
The Democratic National Committee
cordially invite you to a reception with special guest

President Barack Obama


Thursday, May 8 , 2014
Time TBD
th

Y Combinator
Address Available Upon RSVP
Mountain View, CA

Please contact Ashling Pearson with any questions


Norcalevents@dnc.org or at (202) 479-5169
Paid for by the Democratic National Committee, www.democrats.org. This
communication is not authorized by any candidate or candidates committee.

Yes! I/we would like to attend the Reception on May 8 th:

$1,000 - Yes, I would like to attend the Reception


$5,000 - Yes, I would like to attend the Reception and Photo Line (for one person)
$7,500 - Yes, I would like to attend the Reception and Photo Line (for two people)
$10,000 - Yes, I would like to attend the Co-Chair Clutch and Reception
I am unable to attend, but would like to support The Democratic National Committee by contributing: $___________

Name(s) of attendee(s): ____________________________________________________________________________


I was invited to attend by: __________________________________________________________________________
Please make checks payable to:
Democratic National Committee
Attn: Ashling Pearson
430 S. Capital St., SE
Washington, DC 20003
Fax: (202) 572-7819

Total Amount: $________________


(Maximum contribution ~ $32,400)

Click here to contribute online: https://my.democrats.org/page/contribute/MountainViewReceptionMay8?custom1=97675128

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals whose
contributions exceed $200 in a calendar year.
First & Last Name: ___________________________________________________________________________________________________
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Address: _____________________________________________________________________________________________________________
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City/State/Zip: ______________________________________________________________________________________________________
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Employer: _____________________________________________ Occupation: _________________________________________________
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Work Phone: ___________________________________________ Work Fax: ____________________________________________________
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Home Phone: __________________________________________ Email: _______________________________________________________
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I was solicited by: ____________________________________________________________________________________________________
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Federal law prohibits foreign nationals, except lawfully admitted permanent residents of the U.S., from contributing to the Democratic National
Committee. By signing below, I certify that I am a U.S. citizen or lawfully admitted permanent resident of the U.S., and that, the funds I am donating
are not being provided to me by another person or entity for the purpose of making this contribution.
Signature: ______________________________________ Second Signature *: _____________________________________
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Second Name (printed): ___________________________________________________________________________________
Second Name Employer: ______________________________________ Second Name Occupation: __________ _______
Contribute by Personal Check:
Please make checks payable to Democratic National Committee and mail to the address listed above.
Contribute by Credit Card:
Please bill my personal credit card:
Card Number: ____________________________________________________________________Exp: _____________
Name as it appears on the card: ________________________________________________________________________
Signature: ___________________________
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*If contributing from joint account. Contributions made from joint accounts will be evenly attributed between names.

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The Democratic National Committee does not accept contributions from currently registered federal lobbyists, registered foreign agents, political
action committees, or minors under the age of 16.
Federal law prohibits the acceptance of corporate and labor union contributions.
Contributions or gifts to the Democratic National Committee are not tax deductible.

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Paid for by the Democratic National Committee, www.democrats.org. This


communication is not authorized by any candidate or candidates committee.

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