JIM HOUSTON & FRED NOBLE

Cordially Invite You To Attend A Cocktail Reception
In Support Of

COLONEL PAUL COOK (RET.)
U.S. CONGRESSMAN—CALIFORNIA’S 8TH DISTRICT
Host Committee: $2,600 Co-Host: $1,000

Sunday, November 17, 2013
5:00 pm—7:00 pm
The Home of Jim Houston 345 South Via Las Palmas • Palm Springs, CA 92262

Individual Tickets: $500 per couple $250 per person

For more information or to RSVP please contact Stacy Davis at (949) 474-6930 or stacy@stacy-davis.com
□ Yes! I would like to be part of the Host Committee - $2,600 Includes: Name listed on invitation and 10 tickets to the Cocktail Reception □ Yes! I would like to be an event Co-Host - $1,000 Includes: 5 tickets to the Cocktail Reception □ Yes! I/we would like to attend the Cocktail Reception! Please make reservations for ___ individual(s) at $250 per person □ No, I/we cannot attend but have enclosed a contribution in the amount of: _____$2,600 _____$1,000 _____$500 MAKE CONTRIBUTIONS PAYABLE TO: PAUL COOK FOR CONGRESS AND MAIL TO: 24651 EVEREVE CIRCLE, SUITE 1 ● LAKE FOREST, CA 92630 OR FAX TO: (949) 305-9919 CORPORATE CHECKS NOT ACCEPTED TO CONTRIBUTE BY PERSONAL CREDIT CARD, PLEASE COMPLETE THE FOLLOWING:
Circle One: Visa MasterCard American Express ___________________________________________________________________________________________________________________ Name on Card Signature ___________________________________________________________________________________________________________________ Card Number Expiration Date CSC Amount
My signature verifies that this contribution represents my personal funds and is not drawn on an account maintained by an incorporated entity or other prohibited sources.

_____Other

________________________________________________________________________________________________________________________________
Signature of Contributor Signature of Spouse (if joint account on credit card or check contribution) FEDERAL LAW REQUIRES US TO USE OUR BEST EFFORTS TO COLLECT AND REPORT THE NAME, MAILING ADDRESS, OCCUPATION AND NAME OF EMPLOYER OF INDIVIDUALS WHOSE CONTRIBUTIONS EXCEED $200 IN AN ELECTION CYCLE

Name Employer Occupation Address Office Phone Email

Spouse Name (joint contribution only) Spouse Employer (joint contribution only) Spouse Occupation (joint contribution only) City Mobile Phone State Fax Phone Zip

The Federal Election Commission (FEC) allows an individual to contribute up to $2600 per election; a qualified political action committee may contribute up $5200 per election. The primary and general elections are considered separate elections for the purposes of these limits. Federal Law requires us to report the name, mailing address, occupation, and name of employer for each individual whose contributions aggregate in excess of $200 in an election cycle. Contributions from foreign nationals are prohibited. No corporate checks or corporate credit cards may be accepted. Partnership and LLC contributions may be accepted under certain guidelines. Please call 510.484.6763 for further information regarding eligibility. Contributions are not considered charitable contributions for federal income tax purposes.

Paid for and authorized by Paul Cook for Congress
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Sign up to vote on this title
UsefulNot useful