ANDREW
RORABACK

Candidate
for
US
Congress,
CT‐5th


Anthony
M.
Rizzo
Jr.

&

Hon.
Mark
D.
Boughton

Hon.
David
Cappiello

Hon.
Mary
Ann
Carson

Hon.
Dan
Carter

Hon.
Clay
Cope

Hon.
Janice
Giegler


Hon.
John
Hodge

George
Linkletter

Hon.
Michael
McLachlan

Anthony
M.
Rizzo
Sr.

Paul
Scalzo

Hon.
David
Scribner


Cordially Invite You to Attend a Reception
Benefiting the Andrew Roraback for Congress Campaign
With Special Guest

Congressman Bill Shuster

Member of the Transportation & Infrastructure Committee

Friday,
October
26,
2012


5
to
7
p.m.



The
Stony
Hill
Inn


|


50
Stony
Hill
Road,
Bethel,
CT


General
Reception,
5:30‐7
p.m.

$75
per
person


Private
VIP
Reception,
5‐5:30
p.m.

$500
per
person


Maximum
donation,
$2,500


Inquiries
or
to
RSVP



Phone:
(860)
626‐7244
or
Email
rsvp@rorabackforcongress.com

Donate
Online:
www.rorabackforcongress.com


PAID FOR BY RORABACK FOR CONGRESS

P.O.
Box
807,
Torrington
CT
06790

Not
printed
at
government
expense.





Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collect

ANDREW
RORABACK


Candidate
for
US
Congress,
CT‐5th


Please R.S.V.P. for a reception with Andrew Roraback and
Congressman Bill Shuster
Andrew,
I
am
proud
and
honored
to
join
you
on
October
26,
2012,
to
support
the

Andrew
Roraback
for
Congress
Campaign.



 
VIP
Reception:
Contribute
$500
per
individual
and
attend
an
intimate
and
private

gathering
with
Congressman
Shuster
from
5
to
5:30
p.m.,
prior
to
joining
the
General

Reception.




General
Reception:
Contribute
$75
per
individual.



I
am
unable
to
attend
however,
enclosed
is
a
donation
of
$_____________.


The
maximum
individual
contribution
to
Andrew
Roraback
for
Congress
~
$2,500
per
person


Please
make
checks
payable
to:


Roraback
for
Congress,
P.O.
Box
807,
Torrington,
CT
06790



Federal
Law
requires
us
to
use
our
best
efforts
to
collect
and
report
the
name,
mailing
address,
occupation

and
name
of
employer
for
each
individual
whose
contributions
exceed
$200
in
a
calendar
year.



Name
(s):
_____________________________________________________________________________________________

Preferred
Mailing
Address:
_________________________________________________________________________

City:_____________________________________________________
State:______________
Zip:
____________________

Occupation:____________________________________________________________________________________________

Employer:
_____________________________________________________________________________________________

Assistant’s
Name:
_____________________________________________________________________________________

Office
Phone:_________________________________________
Fax
Number:__________________________________

Email
Address:_______________________________________________
Home
Phone:__________________________


To
make
your
contribution
by
personal
credit
card
please
complete
and
return


o

Visa
o

MasterCard
o

American
Express
o

Discover


Name
as
it
appears
on
card:
_________________________________________________________________________

Card
Number:
________________________________________________________________
Exp:___________________


Security
Code:
____________________________________________________
Amount:__________________________


Signature:
______________________________________________________________________________________________

Email:
__________________________________________________________________________________________________


Contributions
are
not
tax
deductible
as
charitable
contributions
for
federal
income
tax
purposes.
By
law,
the

maximum
amount
an
individual
may
contribute
is
$2,500
($5,000
per
couple)
per
general
election.
Federal
multi‐
candidate
PACs
may
contribute
$5,000
per
election.
Federal
law
requires
us
to
obtain
and
report
the
name,

mailing
address,
occupation
and
name
of
employer
for
each
individual
whose
contributions
aggregate
in
excess
of

$200
per
election
cycle.
Contributions
by
corporations,
foreign
nationals
(non‐green
card
holders),
labor
unions,

federal
government
contractors,
and
minors
under
the
age
of
18
are
prohibited.

BS1026B


PAID FOR BY RORABACK FOR CONGRESS

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collect

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