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DOUG DEASON

THOMAS HICKS, JR. | THOMAS HICKS

Invite you to a fundraising luncheon with
CONGRESSMAN

JOHN RATCLIFFE
U . S . HOUSE DISTRICT

4

T H U R S D A Y , F E B R U A R Y 18, 2016
11:30 AM

The Office of Thomas Hicks, Jr.
2200 R OSS A VENUE
F LOOR 50, D ALLAS , TX 75201

Participation Levels
Founder $10,800
Patriot $5,400
Statesman $2,700
Minuteman $1,000
Guest $500

To RSVP,
RSVP, please contact James Van Lare at The McIntosh Company at
214214-520520-2194 or James@McIntoshCompany.com
Paid for and authorized by John Ratcliffe for Congress

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

John Ratcliffe

Suggested Contribution Amounts: 

Founder $10,800  Patriot $5,400  Statesman $2,700  Minuteman $1,000 
Guest $500 includes two tickets/$250 for single ticket) 
Unfortunately, I cannot attend the luncheon, but I would like to support Congressman Ratcliffe.
Enclosed is my contribution of $______________.
ALL CONTRIBUTORS PLEASE READ AND COMPLETE:
Contributions are not tax deductible for federal purposes. Federal law requires us to report the name,
address, occupation, and name of employer of each contributor whose contributions exceed $200 in an
election cycle. Individuals may contribute a maximum of $5,400--$2,700 for the primary election and $2,700
for the general election. Multi candidate PACs may give a maximum of $10,000-$5,000 for the primary
election and $5,000 for the general election. Contributions from corporations, foreign nationals, and federal
government contractors are prohibited. Not printed at government expense.
__________________________________________________________________________________________________
Full Name
Spouse Name (if joint contribution)
__________________________________________________________________________________________________
ADDRESS
CITY
STATE
ZIP CODE
__________________________________________________________________________________________________
CELL PHONE
OFFICE PHONE
HOME PHONE
__________________________________________________________________________________________________
FAX NUMBER
E-MAIL
__________________________________________________________________________________________________
Employer, Occupation
Spouse’s Employer, Occupation (if joint contribution)

Please make checks payable to:

Ratcliffe for Congress
5310 Harvest Hill Road, Suite 209, Dallas, Texas 75230

Credit Card Contributions: This contribution to John Ratcliffe for Congress is drawn on my personal credit card,
represents my personal funds, and is not drawn on an account maintained by an incorporated entity.
To make your personal payment by credit card, please complete the following information:

Please charge my:  Visa 

MasterCard American Express  Discover

$_________________________________________________________________________________________________

Amount of Contribution

Cardholder Name (printed)

__________________________________________________________________________________________________

Card Number

Exp. Date

CVC Code

Billing Zip

__________________________________________________________________________________________________

Signature of Contributor

Signature of Second Contributor (if joint contribution)

Replies and credit card contributions may be faxed to 214-520-1397.
For more information or to RSVP, please contact James Van Lare at The McIntosh Company at 214-520-2194
or James@McIntoshCompany.com.

Paid for and authorized by John Ratcliffe for Congress

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