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You Are Cordially Invited to a

Reception Honoring

Wednesday, May 20, 2009
6:30-8:00 pm

Bistro Bis at the Hotel George
15 E Street, NW in Washington, DC

Suggested Contribution:
$5,000 Host/$2,500 PAC/$1,000 Individual

To RSVP, please email
or call 202.485.3138

Please Make Checks Payable To:
People for Patty Murray
122 Maryland Avenue, NE
Washington, DC 20002

Paid For by People for Patty Murray.

05.20.09 Reception

Contributions are limited to $2400 per individual and $4800 per couple per election. The primary and
general elections are separate elections, so individuals may give a total of $4800 for both elections, while
couples may give a total of $9600.
Contributions to People for Patty Murray are subject to the prohibitions and limitations of the Federal
Election Campaign Act. Contributions from corporations, labor unions, national banks, federal
contractors and foreign nationals who are not admitted for permanent residence in the United States are
prohibited. The decision by a minor to contribute must be knowing and voluntary; the contributed funds, goods,
services must be owned and controlled exclusively by the minor and not controlled by any other individual;
contributions may not be made from gifts made to the minor to provide funds for contributions. All
contributions must be made from personal funds and may not be reimbursed or paid by any other person.

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 per election cycle.
Please Make Checks Payable To:
People for Patty Murray
122 Maryland Avenue, NE
Washington, DC 20002
Donation Amount :_______________________

Name(s): ________________________________________________________________________________________________
(Contributor) (Second Contributor, if applicable)

Home Address: __________________________________________________________________________________________

City: ______________________________________________ State: ________________ Zip Code: ______________________

Occupation: _____________________________________________________________________________________________
(Contributor) (Second Contributor)

Employer: ___________________________________________________________ Phone (W): _________________________
(Contributor) (Second Contributor)

Phone REQUIRED (H): ___________________________________ (C):____________________________________________

E-Mail: _____________________________________________________ Fax: _______________________________________

If you prefer to pay by credit card, please complete the following:

Credit Card Type: _____Visa _____MasterCard _____American Express _____Discover

Name on Card: ___________________________________________________________ Amount: _______________________

Billing Address (If Different): _______________________________________________________________________________

Card Number: _____________________________________Security Code:____________ Exp. Date: ____________________

I affirm that I am making this contribution with my own personal funds, and I amnot using funds provided by any other person.
I agree that the initial $2400 of my contribution is designated for the primary and any additional amount up to $2400 is designated for
the general election campaign, up to a total of $4800 for both elections.
(For credit card contributors only): I amaffirming that I am making this contribution on my own personal credit card and not with a
corporate or business card or a credit card issued to or paid by anyone else (except for my spouse).

Contributor Signature (REQUIRED): ________________________________________________________________________

Second Contributor Signature for J oint Accounts(REQUIRED): ___________________________________________________

Paid for by People for Patty Murray
Contributions to People for Patty Murray are not deductible for federal income tax purposes.

For internal use only:


SC _______________