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JOIN US FOR A COMPLIMENTARY ENERGY

ROUNDTABLE DISCUSSION AND RECEPTION WITH


AMERICA NEXTS HONORARY CO-CHAIRMAN

GOVERNOR BOBBY JINDAL


Wednesday, September 17, 2014
5:30-7:00 PM

The Coronado Club


919 Milam, Ste 500
Houston, TX 77002

COMPLIMENTARY RECEPTION
*Invitation is non-transferable*


RSVP: JAMES VAN LARE | 214-520-8354 | JAMES@MCINTOSHCOMPANY.COM
PLEASE RSVP BY MONDAY, SEPTEMBER 15
LIMITED SEATING
America Next is organized and operated as a tax-exempt social welfare organization under Section 501(c)(4) of the Internal
Revenue Code. America Next may accept unlimited donations from individuals and corporations.
Donations to America Next are not deductible as charitable contributions for federal income tax purposes. America Next has not
and will not provide any benefit in exchange for this donation. America Next anticipates that 100% of the donation will be
allocable to direct or grassroots lobbying activities (as defined in Section 162(e) of the IRC) during the current year. Please
consult an appropriate tax treatment of the donation referenced above.

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



I am proud to support America Next by making a contribution of:
! $50,000 ! $25,000 ! $10,000 !$5,000

RSVP/ CONTRIBUTOR INFORMATION
Name: _________________________________________________________________________________________
Address: ______________________________________________________________________________________
City, State, Zip: _______________________________________________________________________________
Occupation: __________________________________________________________________________________
Work Phone: _________________________________________________________________________________
Fax: ___________________________________________________________________________________________
PAYMENT INFORMATION
To Contribute by Check:
Please make personal checks payable to America Next and mail to:
America Next, 5310 Harvest Hill Road Ste 209, Dallas, TX 75230
To Contribute by Credit Card, please provide the following information:
Type of credit card: ! MasterCard ! VISA ! American Express ! Discover
Name (as appears on card): ________________________________________________________________
Card #: ______________________________Exp. Date: ___________________ CVC: ____________________
Address (associated with card): ____________________________________________________________
City, State, Zip: _______________________________________________________________________________
Signature: ____________________________________________________________________________________
America Next is organized and operated as a tax-exempt social welfare organization under Section 501(c)(4) of the Internal
Revenue Code. America Next may accept unlimited donations from individuals and corporations.
Donations to America Next are not deductible as charitable contributions for federal income tax purposes. America Next has not
and will not provide any benefit in exchange for this donation. America Next anticipates that 100% of the donation will be
allocable to direct or grassroots lobbying activities (as defined in Section 162(e) of the IRC) during the current year. Please
consult an appropriate tax treatment of the donation referenced above.

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