You are invited to a Breakfast with

Congressman
Mike Pence (IN-6)
With special Guest

Senator Dan Coats

Thursday, March 17th
8:30 AM
At
Art and Soul
415 New Jersey Avenue, NW
Washington, DC, 20001

$1000 per PAC / $500 Personal

RSVP to Lisa Spies at Lisa@theLSgroup.com or 202-744-7373

Contributions or gifts to The Mike Pence Committee are not deductible as charitable
contributions for federal income tax purposes. Contributions to The Mike Pence
Committee will be used in connection with federal elections and are subject to the
limitations and prohibitions of Federal law. Contributions may not exceed the
federal limits of $2,500 for an individual, per election, or $5,000 for a federally
registered multicandidate PAC, per election. Contributions by corporations, foreign
nationals, federal government contractors, and labor unions are prohibited.
Federal law requires us to use best efforts to obtain and report the name, address,
occupation, and name of employer.

Paid for by the Mike Pence Committee

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
 Breakfast with
Congressman Mike Pence &
Senator Dan Coats
Thursday, March 17th, 2011
Art and Soul Restaurant
REPLY FORM

󲐀 YES, I/We will be attending the Breakfast on March 17th with Congressman Mike Pence:
Name(s) of attendee(s):____________________________________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City: ____________________________ State:___________________ ZIP:__________________
Phone: _______________________________ Cell Phone:________________________________
Fax: _______________________E-mail:______________________________________________
Occupation: ___________________Employer:_________________________________________

If this contribution is intended to be a joint contribution, a signature from each donor is required
󲐀 Check enclosed
󲐀 Please charge my personal: 󲐀VISA 󲐀MasterCard 󲐀Discover 󲐀American Express
Credit card #:______________________________________ Exp date: __________________
Name as it appears on card:_______________________________________________________
Billing address: ________________________________________________________________
Authorized signature: ___________________________________________________________
Amount of contribution: __________________________________________________________

󲐀 NO, I/we are unable to attend, but have enclosed $________, to support the Win Back America PAC.

Please send this form to:

The Mike Pence Committee
c/o Lisa Spies
912 F Street NW, #1106 Washington, DC 20004
OR fax this form to 202-747-5777
Questions? Call Lisa Spies at 202-744-7373 or email Lisa@theLSgroup.com

Paid for by the Mike Pence Committee

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.