PLEASE JOIN

CONGRESSMAN
BRUCE BRALEY (IA-01)
COMMITTEE ON OVERSIGHT & GOVERNMENT REFORM
COMMITTEE ON TRANSPORTATION & INFRASTRUCTURE
COMMITTEE ON SMALL BUSINESS
FOR A RECEPTION ON

WEDNESDAY, MARCH 12, 2008

6:30-8PM
315 C STREET, NE
WASHINGTON, DC 20002

$1,000 PAC/PERSONAL
PLEASE RSVP TO AMY MILLER
MILLER.AMYM@GMAIL.COM
P. 202-546-9292
F. 202-546-1666
PLEASE MAKE CONTRIBUTIONS PAYABLE TO:
BRALEY FOR CONGRESS
426 C STREET, NE
WASHINGTON, DC 20002
PAID FOR AND AUTHORIZED BY BRALEY FOR CONGRESS

MARCH 12, 2008 RECEPTION WITH CONGRESSMAN BRUCE BRALEY

___ YES, I WOULD LIKE TO ATTEND WITH A $________ CONTRIBUTION.
___ SORRY, I AM UNABLE TO ATTEND, BUT ENCLOSED IS MY CONTRIBUTION OF $___________.
FEDERAL LAW REQUIRES US TO USE OUR BEST EFFORTS TO COLLECT AND REPORT THE NAME AND MAILING
ADDRESS, OCCUPATION AND NAME OF EMPLOYER OF INDIVIDUALS WHOSE CONTRIBUTIONS EXCEED $200
PER ELECTION CYCLE.
CORPORATE CONTRIBUTIONS, CONTRIBUTIONS FROM INDIVIDUALS UNDER THE AGE OF 18, AND
CONTRIBUTIONS FROM NON-U.S. CITIZENS WHO ARE NOT LAWFULLY ADMITTED FOR PERMANENT
RESIDENCE ARE PROHIBITED. ALL CONTRIBUTIONS BY INDIVIDUALS MUST BE MADE FROM PERSONAL
FUNDS AND MAY NOT BE REIMBURSED OR PAID BY ANY OTHER PERSON.
NAME___________________________________________________________
EMPLOYER______________________________________________________
OCCUPATION____________________________________________________
ADDRESS________________________________________________________
CITY, STATE, ZIP_________________________________________________
PHONE________________________FAX______________________________
EMAIL__________________________________________________________
GUEST(S)_______________________________________________________

MAKE CHECKS PAYABLE TO BRALEY FOR CONGRESS AND MAIL TO:

426 C STREET, NE, WASHINGTON, DC 20002

OR FAX THIS FORM TO: ATTN: AMY MILLER 202-546-1666

PLEASE BILL $______ TO MY: ___VISA ___ MASTERCARD ___ AMEX
ACCOUNT # ________________________________EXP.____________
SIGNATURE_________________________________________________
THIS PERSONAL, NOT CORPORATE,

CARD BELONGS TO______________________

PAID FOR AND AUTHORIZED BY BRALEY FOR CONGRESS

CONTRIBUTIONS TO BRALEY FOR CONGRESS ARE NOT DEDUCTIBLE FOR FEDERAL INCOME TAX PURPOSES.