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PLEASE JOIN

Senator Dianne Feinstein & Richard Blum


FOR A RECEPTION & DINNER TO BENEFIT THE

Heartland Victory Fund


WITH

Senator Jon Tester, Montana Senate Candidate Bob Kerrey, Nebraska Senate Candidate Heidi Heitkamp, North Dakota
AT THE HOME OF

Senator Dianne Feinstein & Richard Blum


SAN FRANCISCO, CALIFORNIA (ADDRESS PROVIDED UPON RSVP)

FRIDAY, JUNE 1, 2012


6:30PM RECEPTION|7:00PM DINNER

For more information, or to RSVP, please contact Stefanie Roumeliotes at 415-402-0303 or stefanie@sgrconsultants.com
Contributions or gifts to the Heartland Victory Fund 2012 are not tax deductible. Paid for by Heartland Victory Fund 2012, a joint fundraising committee authorized by Feinstein for senate, Montanans for Tester, Nebraskans for Kerrey, McCaskill for Missouri 2012, Heidi for Senate and the Democratic Senatorial Campaign Committee, Inc.

June 1, 2012 | San Francisco, California


o Yes, I/we would like to attend the event as a Sponsor (write/raise $35,800 per couple) o Yes, I/we would like to attend the event as a Friend (write $15,000 per individual) o I/we cannot attend, but would like to support the event with a contribution of $_________ An individual can contribute as much as $53,300 to the Heartland Victory Fund. A couple can contribute as much as $106,600 to the Heartland Victory Fund. Please make checks payable to Heartland Victory Fund 2012 And mail with this completed form to: Heartland Victory Fund 2012 ATTN: Emily Sullivan 120 Maryland Avenue, NE, Washington, DC 20002 For PERSONAL credit card contributions please fax this completed form to 202-314 3231.
FEDERAL LAW REQUIRES US TO USE OUR BEST EFFORTS TO COLLECT AND REPORT THE NAME, MAILING ADDRESS, OCCUPATION, AND THE NAME OF EMPLOYER FOR INDIVIDUALS WHOSE CONTRIBUTIONS EXCEED $200 IN AN ELECTION CYCLE.

NAME ADDRESS CITY/STATE/ZIP OCCUPATION WORK PHONE FAX NUMBER EXPIRATION DATE SIGNATURE o VISA EMPLOYER HOME PHONE E-MAIL o AMERICAN EXPRESS NAME ON CARD _________ __________ __________ _________________ __________ o MASTERCARD _______________________ _________________ ____

Contributions or gifts to the Heartland Victory Fund 2012 are not tax deductible. Paid for by Heartland Victory Fund 2012, a joint fundraising committee authorized by Feinstein for senate, Montanans for Tester, Nebraskans for Kerrey, McCaskill for Missouri 2012, Heidi for Senate and the Democratic Senatorial Campaign Committee, Inc. Contributions to Heartland Victory Fund 2012 will be allocated as follows: The first $5,000 of each contribution will be allocated evenly between Feinstein for Senate, Montanans for Tester, Nebraskans for Kerrey, McCaskill for Missouri 2012 and Heidi for Senate. These contributions will be considered designated for the primary election until May 15, 2012 for Nebraskans for Kerrey, June 5, 2012 for Feinstein for Senate, June 5, 2012 for Montanans for Tester, June 12, 2012 for Heidi for Senate and August 7, 2012 for McCaskill for Missouri 2012; after these dates the contributions will be considered designated for the general election. The next $30,800 of each contribution from a person and the next $15,000 of each contribution from a multicandidate committee will be allocated to the Democratic Senatorial Campaign Committee, Inc. Any contributor may designate his or her contribution for a particular participant. The allocation formula above may change if any contributor makes a contribution that, when allocated, would exceed the amount that the contributor may lawfully give to any participant.