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Joe Lieberman Invitation

Joe Lieberman Invitation

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Published by Azi Paybarah

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Published by: Azi Paybarah on Aug 18, 2011
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08/18/2011

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Please join

Senator Joe Lieberman
and
Speaker Sheldon Silver

For a luncheon in support of

Assemblyman David Weprin
Candidate for Congress (NY-9)

Wednesday, August 31, 2011
1:00pm Ȃ 2:00pm

Abigailǯs on Broadway
1407 Broadway (at 38
th
street)
New York, NY 10018

Host: $2,500
(Includes Photo with Senator Lieberman)

Supporter: $1,000

To RSVP please contact Alex Roth at 973-714-8874 or aroth85@gmail.com

Please make personal checks payable to:
DzDavid Weprin for Congressdz
72-50 Austin Street Ȃ Forest Hills NY 11375

Paid for by David Weprin for Congress



___ Yes, I will attend the luncheon with Senator Lieberman!

$2,500 $1,000

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 in an election cycle.

Corporate contributions, 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 persoPln.


Name_______________________________________________________________

Employer_____________________________________________________________

Occupation___________________________________________________________

Address______________________________________________________________

City, State, Zip_________________________________________________________

Work Phone________________ Cell___________________ Fax_________________

Email_______________________________________________________________

Make personal checks payable to ³David Weprin for Congress´ and mail to:
David Weprin for Congress
72-50 Austin Street
Forest Hills, New York 11375

Or fax this form to (718) 268-7363
You may also contribute online at davidweprinforcongress.com


Please bill $______________ to my: _______Visa _______ MasterCard ______ AMEX

Account # ______________________________________Exp.___________________

Signature_____________________________________________________________

This personal, not corporate, card belongs to: __________________________________

Contributions to David Weprin for Congress are not deductible for federal income tax purposes. Contributions are limited to
$2,500 per individual and $5,000 for federal multi-candidate PACs.
Corporate contributions are prohibited

Paid for by David Weprin for Congress

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